Basic Information
Provider Information
NPI: 1578097846
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOMBARDI
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 401 E CHESTNUT ST SUITE 600
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 40202
CountryCode: US
TelephoneNumber: 5025884425
FaxNumber:  
Practice Location
Address1: 401 E CHESTNUT ST
Address2: STE. 610
City: LOUISVILLE
State: KY
PostalCode: 402025700
CountryCode: US
TelephoneNumber: 5025884865
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2017
LastUpdateDate: 05/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084P0800X63155TNY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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