Provider Demographics
NPI:1366287187
Name:LOBSIGER, BROOK MARIE
Entity type:Individual
Prefix:
First Name:BROOK
Middle Name:MARIE
Last Name:LOBSIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3829 N 700 E
Mailing Address - Street 2:
Mailing Address - City:CRAIGVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46731-9728
Mailing Address - Country:US
Mailing Address - Phone:260-273-6988
Mailing Address - Fax:
Practice Address - Street 1:3829 N 700 E
Practice Address - Street 2:
Practice Address - City:CRAIGVILLE
Practice Address - State:IN
Practice Address - Zip Code:46731-9728
Practice Address - Country:US
Practice Address - Phone:260-273-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program