Provider Information for 1376318923
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ALICIA ELIZABETH LOMBA M.Ed
Sex: Female
NPI: 1376318923
Last Updated: 2023-11-22
Certification Date: 2023-11-22
Certification Date: 2023-11-22
Details
Name | Value | ||||||||
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NPI | 1376318923 | ||||||||
Enumeration Date | 2023-11-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 223 VIRGINIA AVE HADDON TOWNSHIP, NJ 08108-2620 United States Phone: 856-904-6868 | Fax: | ||||||||
Primary Practice Address | 223 VIRGINIA AVE HADDON TOWNSHIP, NJ 08108-2620 United States Phone: 856-904-6868 | Fax: | ||||||||
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