Individual
DR. JENNIFER LOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2058
(631) 548-6000
Mailing address
31 MAIN RD STE 2, RIVERHEAD, NY 11901-1953
(631) 369-8539
(631) 369-5613
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
339819
NY
2086S0102X
Surgical Critical Care Physician
339819
NY
2086S0127X
Trauma Surgery Physician
Primary
339819
NY
Other
Enumeration date
06/09/2015
Last updated
11/17/2025
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