1497076749 NPI number — DAVID N LOMBARD, PH.D, LLC

Table of content: DR. LOUIS GEORGE GILLERAN M.D. (NPI 1831178334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497076749 NPI number — DAVID N LOMBARD, PH.D, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID N LOMBARD, PH.D, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497076749
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3242 MALLARD COVE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT WAYNE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46804-2883
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
260-459-2900
Provider Business Mailing Address Fax Number:
260-459-2901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3242 MALLARD COVE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT WAYNE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46804-2883
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
260-459-2900
Provider Business Practice Location Address Fax Number:
260-459-2901
Provider Enumeration Date:
06/21/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LOMBARD
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
N
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
260-459-2900

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X , with the licence number:  20041481A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200342760 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".