MEDICARE: DR. MARK JAMES LOBITZ D.O., CMD

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
1	207Q00000X	Family Medicine Physician	OS005223L	PA

General Provider Information

NPI Number	:	1639141492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK JAMES LOBITZ D.O., CMD

Provider Business Mailing Address
First Line	:	1605 N CEDAR CREST BLVD STE 110B
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2351
Country	:	US
Telephone Number	:	610-973-1410
Fax Number	:	610-973-1449

Provider Business Practice Location Address
First Line	:	420 W 23RD ST
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202-1302
Country	:	US
Telephone Number	:	570-455-6000
Fax Number	:	570-455-7371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	04/13/2026

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