Dr. Jolly Lozano Ombao, M.D.
Anesthesiology, Pain Medicine in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1487891255
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1487891255
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jolly Lozano Ombao
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2009
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | MD440826 | PA | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | 60251679 | NY |
Practice location
25 Church StWilkes Barre, PA 18702-3507
Phone 570-808-3100 · Fax 570-808-8739
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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