| Lomibao Medical Practice LLC | |
|
195 Alvord Park Rd Torrington CT 06790-3414 | |
| (860) 352-8427 | |
| (860) 352-8428 |
| Full Name | Lomibao Medical Practice LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 195 Alvord Park Rd, Torrington, Connecticut |
| Authorized Official Name and Position | Amor Lomibao (MEDICAL DIRECTOR/ MANAGER) |
| Authorized Official Contact | 8603528427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lomibao Medical Practice LLC 195 Alvord Park Rd Torrington CT 06790-3414 Ph: (860) 352-8427 | Lomibao Medical Practice LLC 195 Alvord Park Rd Torrington CT 06790-3414 Ph: (860) 352-8427 |
| NPI Number | 1073210811 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073210811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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