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Individual

LEE A KLOMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2108 HARRISBURG PIKE STE 100, LANCASTER, PA 17601-2644
(717) 974-9661
(717) 974-9669
Mailing address
2108 HARRISBURG PIKE STE 100, LANCASTER, PA 17601-2644
(717) 974-9661
(717) 974-9669

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD043936L
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD-043936L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1238200
PA
01
1477512473
MDCR-RR
PA
01
180026203
MDCR-RR
PA
Enumeration date
01/19/2006
Last updated
11/18/2022
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