Individual
MICHAEL A LOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 412-0422
(270) 798-8284
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 412-0422
(270) 798-8284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
TN
Enumeration date
08/09/2007
Last updated
08/04/2015
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