Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gino Jose Bardi Lola, MD

Individual provider Pediatrics Physician · NPI 1700230109

Gino Jose Bardi Lola, MD is a Pediatrics Physician in Douglas, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

815 E 15th St
Douglas, AZ 85607-1631
Phone: (520) 364-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 65304 (AZ)

Record details

NPI number1700230109
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESFebruary 14, 2024
Certification dateJanuary 24, 2024

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