| Doctor Name: | DR. VIVIAN A LOMBILLO |
| NPI Number: | 1013938620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., PH.D |
| License Number: | MD00046225 |
| Business Practice Address: | 4004 Colby Ave The Everett Clinic Everett, WA - 98201 |
| Business Phone Number: | 4252590966 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5127, EVERETT |
| State: | WA |
| Postal Code: | 982065127 |
| Phone Number: | 4252583900 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207NP0225X |
| License Number: | MD00046225 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Dermatology |
| Taxonomy 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. |