DR. VIVIAN A LOMBILLO MD PHD NPI 1013938620

NPI Information

  • NPI: 1013938620
  • Provider Name: DR. VIVIAN A LOMBILLO, MD PHD
  • Classification: Dermatology - 207NP0225X
  • Specialization: Pediatric Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 703 LILLY RD NE SUITE 105
    NORTHWEST PEDIATRIC DERMATOLOGY, PLLC
    OLYMPIA, WA
    ZIP 98506
  • Phone: (360) 539-6141

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NPI Details

DR. Vivian A Lombillo, MD PHD is a pediatric dermatology dermatology in Olympia, WA with 24 years of experience. 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. DR. Vivian A Lombillo, MD PHD NPI is 1013938620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

703 LILLY RD NE SUITE 105
NORTHWEST PEDIATRIC DERMATOLOGY, PLLC
OLYMPIA, WA
ZIP 98506
Phone: (360) 539-6141

The NPI 1013938620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NP0225XDermatologyPediatric DermatologyMD00046225WASHINGTONYes
2207N00000XDermatologyMD00046225WASHINGTONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103367104MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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