Individual
MR. MAKENZIE RYAN LOBDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29210
SC
363LG0600X
Gerontology Nurse Practitioner
29210
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2022
Last updated
04/22/2026
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