Healthcare Provider Details

I. General information

NPI: 1780024984
Provider Name (Legal Business Name): ALBERT LOBATO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE NM
87102-3619
US

IV. Provider business mailing address

3700 CAHABA BEACH RD
BIRMINGHAM AL
35242-5225
US

V. Phone/Fax

Practice location:
  • Phone: 505-727-8000
  • Fax: 954-367-8526
Mailing address:
  • Phone: 205-403-8902
  • Fax: 205-271-5571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR36634
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: