Provider Demographics
NPI:1164277257
Name:LOMBARDO, ANGELO JOSEPH
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:JOSEPH
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 STRATFORD CIR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9805
Mailing Address - Country:US
Mailing Address - Phone:419-303-8283
Mailing Address - Fax:
Practice Address - Street 1:701 LIMA AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-2315
Practice Address - Country:US
Practice Address - Phone:800-458-6288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH175797164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse