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NPI Code Detail

MEDICARE: MRS. LAUREN LOBBESTAEL M.ED.

MEDICARE: MRS. LAUREN LOBBESTAEL M.ED.
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
1103K00000XBehavior Analyst
2103K00000XBehavior AnalystCOBA.00819OH

General Provider Information

NPI Number : 1497105506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN LOBBESTAEL M.ED.
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2105 LAWRENCE AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43606-4822
Country : US
Telephone Number : 419-291-7080
Fax Number : 419-480-5901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 09/28/2025

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