DR. VIVIAN A LOMBILLO


Address: 703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, Pllc, Olympia, WA 98506
Phone: 3605396141

DR. VIVIAN A LOMBILLO (NPI# 1013938620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013938620
Entity Type Individual
Full Name DR. VIVIAN A LOMBILLO
Credential MD PHD
Practice Address 703 Lilly Rd Ne Suite 105
Northwest Pediatric Dermatology, Pllc
Olympia
WA 98506
Practice Telephone 3605396141
Mailing Telephone 3605396141
Enumeration Date 2006-07-21
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology MD00046225 WA Allopathic & Osteopathic Physicians
Y 207NP0225X Dermatology
Specialization: Pediatric Dermatology
MD00046225 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 03367104 05

Office Location

Street Address 703 LILLY RD NE SUITE 105
NORTHWEST PEDIATRIC DERMATOLOGY, PLLC
City OLYMPIA
State WA
Zip Code 98506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477185460 Chloe Harper Technician, Other 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 2020-02-07
1912543539 Jessica Marie Radakovich Licensed Practical Nurse 3426 Mary Elder Rd, Olympia, WA 98506 2019-11-19
1669014973 Arlene Josephine Adams Registered Nurse 413 Lily Rd Ne, Olympia, WA 98506 2019-10-09
1861999120 Debra Delores Barker Licensed Practical Nurse 3710 South Bay Rd Ne, Olympia, WA 98506 2018-04-12
1801304431 Michelle Warner Nurse Practitioner 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 2018-01-17
1396258364 Institute for Family Development Community/Behavioral Health 204 Quince St. Ne, Suite 200, Olympia, WA 98506 2017-11-13
1083137715 Cameron Kunkel Specialist/Technologist 2512 20th Ave Ne, Olympia, WA 98506 2017-07-25
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1073043212 Michael H Harburg Behavior Technician 3857 Martin Way Ne, Olympia, WA 98506 2017-06-19
1780114371 Priscilla Kangyang Jadu Counselor 3857 Martin Way E., Olympia, WA 98506 2017-06-15
Find all providers in zip 98506

Taxonomy Information

Taxonomy Code 207NP0225X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Pediatric Dermatology

Taxonomy Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326281353 Deepti Gupta Dermatology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2009-04-07
1417083197 Heather Alicia Brandling-bennett Dermatology 4800 Sand Point Way Ne, A-7916 - Dermatology, Seattle, WA 98105-3901 2007-02-26
1861507113 Robert Sidbury Dermatology 4800 Sand Point Way Ne, Seattle Children's Hospital A7916, Seattle, WA 98105-3901 2006-08-20

Competitor

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City OLYMPIA
Zip Code 98506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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