Healthcare Provider Details

I. General information

NPI: 1235753724
Provider Name (Legal Business Name): LOBO WORKPLACE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 BILL POOLE RD
ROUGEMONT NC
27572-7541
US

IV. Provider business mailing address

2822 CASHWELL DR STE 252
GOLDSBORO NC
27534-4302
US

V. Phone/Fax

Practice location:
  • Phone: 888-644-2534
  • Fax: 888-511-3991
Mailing address:
  • Phone: 888-644-2534
  • Fax: 888-511-3991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: JOHN L WORSLEY
Title or Position: GENERAL DIRECTOR
Credential:
Phone: 919-522-6534