| Traci Nicole Lombard, DO | |
|
24 Falcon Crest Ln, Clyde, NC 28721-6620 | |
| (828) 452-8878 | |
| (828) 452-8879 |
| Full Name | Traci Nicole Lombard |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 24 Falcon Crest Ln, Clyde, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255359501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3526 (Arizona) | Secondary |
| 208000000X | Pediatrics | 2008-00602 (North Carolina) | Primary |
| Entity Name | Dlp Western Carolina Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Nicole Lombard, DO 24 Falcon Crest Ln, Clyde, NC 28721-6620 Ph: (828) 452-8878 | Traci Nicole Lombard, DO 24 Falcon Crest Ln, Clyde, NC 28721-6620 Ph: (828) 452-8878 |
Tyler Bagley Vereen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Facility Dr, Clyde, NC 28721 Phone: 828-452-2211 Fax: 828-452-4421 | |
Dr. James Daniel Guerriere Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Falcon Crest Ln, Clyde, NC 28721 Phone: 828-452-8878 Fax: 828-452-8879 | |
Morrill Harrington Weaver, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Facility Dr, Clyde, NC 28721 Phone: 828-452-2211 Fax: 855-732-4561 | |
Stephen Jay Wall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Facility Dr, Clyde, NC 28721 Phone: 828-452-2211 Fax: 828-452-4421 | |
Sarah Webb-wood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Facility Dr, Clyde, NC 28721 Phone: 828-452-2211 Fax: 828-452-4421 | |
Steven D. Hammel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Facility Dr, Clyde, NC 28721 Phone: 828-452-2211 Fax: 828-452-4421 |