Individual
MICHELLE LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(516) 708-2550
Mailing address
190 1ST ST APT 1S, MINEOLA, NY 11501-4072
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
289525
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2013
Last updated
02/21/2019
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