Gomba, Lorraine A

Gomba, Lorraine A is an individual health care provider with primary practice located at 1 Lyons St , Dedham MA 02026-5599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gomba, Lorraine A can be contacted via phone (781) 329-1400.

Contact Information

Primary practice address
1 Lyons St Dedham MA 02026-5599
Phone: (781) 329-1400
Fax: (781) 278-5667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 154246 Massachusetts

Profile Details

NPI number 1265439822
LBN Legal business name Gomba, Lorraine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265439822 NPPES
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Other 772904 TUFTS TOTAL HEALTH PLAN

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