Lombard, Phaedra
Lombard, Phaedra is an individual health care provider with primary practice located at 5525 W 119Th St Suite 200, Overland Park KS 66209-3724. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lombard, Phaedra can be contacted via phone (913) 491-4020.Contact Information
Primary practice address
5525 W 119Th St Suite 200
Overland Park KS 66209-3724
Phone: (913) 491-4020
Fax: (913) 491-4725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0428065 | Kansas |
Profile Details
| NPI number | 1578569513 |
|---|---|
| LBN Legal business name | Lombard, Phaedra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Apr 18th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578569513 | NPPES |
| Kansas | MEDICAID | 100348920A |
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