Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | 51654 | CO |
NPI | 1952438939 |
---|---|
Provider Name | Evelyn A Lobato |
First Address | Denver, CO 80205-5423 |
Second Address | Denver, CO 80205-5423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009924 | KAISER-COMMERCIAL NUMBER (01) |