Organization
TED LOBBY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE EDWARD LOBBY MSW (PRESIDENT)
(952) 922-0192
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S, # 472, EDINA, MN 55435-1805
(952) 922-0192
Mailing address
6600 FRANCE AVE S, # 472, EDINA, MN 55435-1805
(952) 922-0192
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1145
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045757400
—
MN
Enumeration date
07/20/2006
Last updated
06/13/2008
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