Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301098422 | MI |
N | 208600000X | Surgeon | 4301098422 | MI |
Y | 2086S0120X | Pediatric Surgery | 75466 | WI |
NPI | 1336435494 |
---|---|
Provider Name | Inna Neyman Lobeck |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 02/08/2021 |