Provider Demographics
NPI:1356388730
Name:PALMA, LOMBARDO F (MD, MSPH)
Entity type:Individual
Prefix:DR
First Name:LOMBARDO
Middle Name:F
Last Name:PALMA
Suffix:
Gender:M
Credentials:MD, MSPH
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Mailing Address - Street 1:3540 S 4000 W
Mailing Address - Street 2:200
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-3260
Mailing Address - Country:US
Mailing Address - Phone:801-417-8062
Mailing Address - Fax:801-417-8065
Practice Address - Street 1:3540 S 4000 W
Practice Address - Street 2:200
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-3260
Practice Address - Country:US
Practice Address - Phone:801-417-8062
Practice Address - Fax:801-417-8065
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1695411205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTDO7515Medicare UPIN