Individual
PAVEL VLADIMIROVICH LOBANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 NEWBURYPORT RD, UPPER HOLLAND, PA 19053-1556
(215) 860-4110
(267) 295-8208
Mailing address
10 MAYO PL, DRESHER, PA 19025-1228
(267) 237-6220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT 183296
PA
Other
Enumeration date
04/03/2007
Last updated
10/31/2017
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