Organization
SPECTRUM LIFE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA MARIA MARTINEZ LOMBARDY MS (OWNER)
(540) 661-2906
Entity
Organization
Contact information
Practice address
611 MAPLE GROVE DR, FREDERICKSBURG, VA 22407-6824
(540) 324-4555
Mailing address
PO BOX 8154, FREDERICKSBURG, VA 22404-8154
(540) 324-4555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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