Healthcare Provider Details

I. General information

NPI: 1346156296
Provider Name (Legal Business Name): ANGELA LOBER PHD, MPH, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 M ST NW STE 740
WASHINGTON DC
20036-5802
US

IV. Provider business mailing address

17 E FOOTHILL DR
PHOENIX AZ
85020-1012
US

V. Phone/Fax

Practice location:
  • Phone: 202-978-2648
  • Fax:
Mailing address:
  • Phone: 480-343-1481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN117558
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: