Provider Demographics
NPI:1164687661
Name:LOMBRE, CHRISTI KLIMISCH (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:KLIMISCH
Last Name:LOMBRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 GATEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-6901
Mailing Address - Country:US
Mailing Address - Phone:707-427-4048
Mailing Address - Fax:707-427-4385
Practice Address - Street 1:1550 GATEWAY BLVD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6901
Practice Address - Country:US
Practice Address - Phone:707-427-4048
Practice Address - Fax:707-427-4385
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101881208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics