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NPI Code Detail

MEDICARE: MICHAEL LOBODA M.D.

MEDICARE: MICHAEL LOBODA M.D.
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
1207L00000XAnesthesiology Physician35-04-7609-LOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050084470OTHEROHTRAVELERS PIN#
2000000192672OTHEROHANTHEM PIN#
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538164934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LOBODA M.D.
Provider Business Mailing Address
First Line : 224 W EXCHANGE ST
Second Line : STE 220
City : AKRON
State : OH
Zip : 44302-1704
Country : US
Telephone Number : 330-344-7040
Fax Number : 330-344-1714
Provider Business Practice Location Address
First Line : 1 AKRON GENERAL AVE
Second Line :
City : AKRON
State : OH
Zip : 44307-2432
Country : US
Telephone Number : 330-344-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 04/06/2015

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Directions to “ MICHAEL LOBODA M.D.” Practice Location

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