NPI: 1588164925
Provider Name: NORTHWEST PEDIATRIC DERMATOLOGY, PLLC
Other Name: VIVIAN LOMBILLO, MD
Classification: Dermatology - 207NP0225X
Entity Type: Organization
Specialization: Pediatric Dermatology
Address:
703 LILLY RD NE STE 105
OLYMPIA, WA
ZIP 98506
Phone: (360) 539-6141
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NORTHWEST PEDIATRIC DERMATOLOGY, PLLC is a pediatric dermatology dermatology in Olympia, WA. The provider is 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. NORTHWEST PEDIATRIC DERMATOLOGY, PLLC NPI is 1588164925. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Vivian Lombillo, Md.
The provider's business location address is:
703 LILLY RD NE STE 105
OLYMPIA, WA
ZIP 98506-191
Phone: (360) 539-6141
The provider's authorized official is Vivian Lombillo .
The authorized official title is Physician/owner and has the following contact phone number (360) 539-6141.
The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.