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KENNETH LOMBARD M.D.

Physicians Pediatrics

Provider NPI: 1013946011

Provider Information:
 KENNETH  LOMBARD M.D.
Gender: M
Not Sole Proprietor

Practice Location:
887 CONGRESS ST SUITE 410B PORTLAND, ME 04102-3100 US
Tel: 207-662-5522  Fax: 207-662-5526

Business Mailing Address:
301 US ROUTE 1 BUILDING C SCARBOROUGH, ME 04074-7609 US
Tel: 207-396-8600  Fax: 207-396-8632

NPI Information:
NPI: 1013946011
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XPhysicians
Pediatrics
ME013678
Y2080P0206XPhysicians
Pediatrics
ME013678

Other Provider Identifiers:

IssuerNumberStateType
337220099ME05
30006480NH05



American Medical Association 2012 taxonomy code information

Code: 2080P0206X

Type:

Classification:



Definition:



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