MEDICARE: CLARA LUCIA LOBO N.P.

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	363LA2200X	Adult Health Nurse Practitioner	656865	TX

General Provider Information

NPI Number	:	1699071464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA LUCIA LOBO N.P.

Provider Business Mailing Address
First Line	:	5440 HARVEST HILL RD STE 182
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1605
Country	:	US
Telephone Number	:	972-484-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	5440 HARVEST HILL RD STE 182
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1605
Country	:	US
Telephone Number	:	972-484-0040
Fax Number	:

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

Provider Enumeration Date	:	01/26/2011
Last Update Date	:	12/11/2023

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