Individual
AUGUSTINUS J LOBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2420 ARGILLITE ROAD SUITE B, FLATWOODS, KY 41139
(606) 836-3900
(606) 836-0205
Mailing address
2420 ARGILLITE RD, FLATWOODS, KY 41139-1972
(606) 836-3900
(606) 836-0205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28383
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200678
ANTHEM BCBS
KY
01
—
000000598141
ANTHEM BCBS
KY
05
—
2304705
—
OH
05
—
64063993
—
KY
Enumeration date
07/07/2006
Last updated
10/09/2009
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