Individual
FREDERICK JOHANNES LOMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1205 RIVER AVE FL 1, WILLIAMSPORT, PA 17701-3724
(570) 323-5991
(570) 323-6578
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS020897
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033182040002
—
PA
01
—
1J3367
MEDICARE
PA
Enumeration date
06/08/2017
Last updated
04/26/2022
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