Individual
CARL EUGENE LOBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3550
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16348
NV
207L00000X
Anesthesiology Physician
27173
NE
208D00000X
General Practice Physician
27173
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528366085
—
NV
01
—
V51702
PTAN
NV
Enumeration date
03/08/2011
Last updated
07/02/2021
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