Individual
DR. CARL TRINIDAD LOMBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 261-7474
(864) 261-8581
Mailing address
100 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 261-7474
(864) 261-8581
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52539
BCBS OF NC PROVIDER ID#
NC
05
—
8952539
—
NC
01
—
P00869101
RR MEDICARE
SC
05
—
Q36761
—
SC
Enumeration date
04/06/2006
Last updated
12/22/2010
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