Provider Demographics
NPI:1649447194
Name:LOMBOY, CHRISTINE TRINIDAD (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:TRINIDAD
Last Name:LOMBOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:LOMBOY
Other - Last Name:EICHELBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:103 COMMERCE CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5869
Mailing Address - Country:US
Mailing Address - Phone:704-947-2971
Mailing Address - Fax:704-948-8572
Practice Address - Street 1:103 COMMERCE CENTRE DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5869
Practice Address - Country:US
Practice Address - Phone:704-947-2971
Practice Address - Fax:704-948-8572
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-01955207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000373900Medicaid
FL62800OtherBCBS
NC2076999Medicare PIN
FL62800OtherBCBS