Individual
DR. VIVIAN A LOMBILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
703 LILLY RD NE SUITE 105, NORTHWEST PEDIATRIC DERMATOLOGY, PLLC, OLYMPIA, WA 98506
(360) 539-6141
Mailing address
703 LILLY RD NE SUITE 105, NORTHWEST PEDIATRIC DERMATOLOGY, PLLC, OLYMPIA, WA 98506
(360) 539-6141
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00046225
WA
207NP0225X
Pediatric Dermatology Physician
Primary
MD00046225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03367104
—
WA
Enumeration date
07/21/2006
Last updated
03/03/2025
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