Individual
DAWN R LOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011354N
HUMANA
—
05
—
42937400
—
WI
Enumeration date
05/15/2006
Last updated
07/21/2022
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