Individual
MS. GINA M. LOMBARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 878-5200
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2603
MA
133V00000X
Registered Dietitian
Primary
2603
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042297845
HCVM/COVENTY/FIRST HEALTH
MA
01
—
129161
FALLON
MA
01
—
PTAN 000205701
MEDICARE
—
01
—
SS0051
BCBSMA
MA
Enumeration date
08/10/2007
Last updated
08/22/2017
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