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NPI Code Detail

MEDICARE: SHARON DAWN LOBELL

MEDICARE:   SHARON DAWN LOBELL
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
1363LF0000XFamily Nurse PractitionerAP08157LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164812608
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON DAWN LOBELL
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-526-0011
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 1702 N BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-2141
Country : US
Telephone Number : 225-644-8511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2015
Last Update Date : 01/06/2021

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