| Lombard Orthodontics, Pllc | |
|
540 Fort Evans Rd Ste 102 Leesburg VA 20176-3379 | |
| (703) 777-8277 | |
| Not Available |
| Full Name | Lombard Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 540 Fort Evans Rd Ste 102, Leesburg, Virginia |
| Authorized Official Name and Position | Jeffrey P Lombard (OWNER) |
| Authorized Official Contact | 7037778277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lombard Orthodontics, Pllc 540 Fort Evans Rd Ste 102 Leesburg VA 20176-3379 Ph: (703) 777-8277 | Lombard Orthodontics, Pllc 540 Fort Evans Rd Ste 102 Leesburg VA 20176-3379 Ph: (703) 777-8277 |
| NPI Number | 1306367917 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306367917 | NPI | - | NPPES |
| 0401415598 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401415598 (Virginia) | Primary |
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