Individual
MARK JOHN LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 UNITY PL, LAFAYETTE, IN 47905-5756
(765) 447-7460
(765) 447-8396
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
010
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000829823
ANTHEM
IN
01
—
000000837944
ANTHEM
IN
05
—
201180380
—
IN
01
—
5023973
AETNA
IN
Enumeration date
05/25/2009
Last updated
02/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us