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NPI Code Detail

MEDICARE: DAVID LOBACH

MEDICARE: DAVID LOBACH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician38649NC

General Provider Information

NPI Number : 1396829446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LOBACH
Provider Business Mailing Address
First Line : 5213 S. ALSTON AVE.
Second Line :
City : DURHAM
State : NC
Zip : 27713
Country : US
Telephone Number : 919-684-8111
Fax Number :
Provider Business Practice Location Address
First Line : 5213 S ALSTON AVE
Second Line :
City : DURHAM
State : NC
Zip : 27713-4430
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 02/08/2013

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Directions to “ DAVID LOBACH ” Practice Location

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