| NPI | 1588164925 |
|---|---|
| Other Name | VIVIAN LOMBILLO, MD |
| Entity Type | Organization |
| Authorized Contact | VIVIAN LOMBILLO Physician/Owner 360-539-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WA MD00046225) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA MD00046225) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |