Provider Demographics
NPI:1639050925
Name:LONIELLO, COLUMBA ROBERT (MA)
Entity type:Individual
Prefix:MR
First Name:COLUMBA
Middle Name:ROBERT
Last Name:LONIELLO
Suffix:
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:COLE
Other - Middle Name:ROBERT
Other - Last Name:LONIELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:1955 W BROADWAY STE 101
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3700
Mailing Address - Country:US
Mailing Address - Phone:608-421-8386
Mailing Address - Fax:608-467-9635
Practice Address - Street 1:1955 W BROADWAY STE 101
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53713-3700
Practice Address - Country:US
Practice Address - Phone:608-421-8386
Practice Address - Fax:608-467-9635
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator