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Individual

DR. ELIZABETH LOBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0188
(409) 747-8302
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0188

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A 120716
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A 120716
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC70042F
COUNTY OF SANTA CRUZ CA MEDI-CAL PROVIDER NUMBER
CA
01
ZZZ92069Z
COUNTY OF SANTA CRUZ CA MEDICARE GROUP PTAN#
CA
Enumeration date
12/03/2008
Last updated
07/30/2014
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