| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 3274991518 |
|---|---|
| Medicare Enrollment ID | O20230620001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073210811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amor C Lomibao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760495683 PECOS PAC ID: 0941332894 Enrollment ID: I20100713000453 |
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