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Organization

LOMBA MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FERNANDO LUIS LOMBA (OWNER)
(941) 766-4120
Entity
Organization

Contact information

Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4120
Mailing address
PO BOX 742291, ATLANTA, GA 30374-2291

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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