Doctor Name: | MS. LYNN A LOMBARDO |
NPI Number: | 1073892345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLP |
License Number: | 6301006159 |
Business Practice Address: | 670 Griswold St Northville, MI - 481672675 |
Business Phone Number: | 2483473470 |
Business Fax Number: | 2483472242 |
Mailing Address: | 2239 Cummings Ave, BERKLEY |
State: | MI |
Postal Code: | 480721081 |
Phone Number: | 2485616208 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2011 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301006159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |