Individual
MR. MAKENZIE RYAN LOBDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 434-7910
(803) 933-3022
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
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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