Healthcare Provider Details

I. General information

NPI: 1427035872
Provider Name (Legal Business Name): SHEILA GAIL LOBB ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 INDUSTRIAL PARK
GREENSBURG KY
42743
US

IV. Provider business mailing address

500 BOURNE AVE
SOMERSET KY
42501-1916
US

V. Phone/Fax

Practice location:
  • Phone: 270-932-4341
  • Fax: 270-932-6016
Mailing address:
  • Phone: 606-678-4761
  • Fax: 606-676-9671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1698P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: