Provider Demographics
NPI:1174565352
Name:LUCOMBE, LINDA P (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:P
Last Name:LUCOMBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8340 COLLIER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-3589
Mailing Address - Country:US
Mailing Address - Phone:239-348-4221
Mailing Address - Fax:239-354-4320
Practice Address - Street 1:8340 COLLIER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114
Practice Address - Country:US
Practice Address - Phone:239-348-4221
Practice Address - Fax:239-354-4320
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME90424207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269880300Medicaid
FLU2770XOtherMEDICARE PTAN
FLG15608Medicare UPIN