Provider Demographics
NPI:1073899209
Name:LOBBAN, HELIAH
Entity Type:Individual
Prefix:DR
First Name:HELIAH
Middle Name:
Last Name:LOBBAN
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 1:1501 NE 163RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4717
Mailing Address - Country:US
Mailing Address - Phone:305-945-2803
Mailing Address - Fax:305-945-7753
Practice Address - Street 1:1501 NE 163RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4717
Practice Address - Country:US
Practice Address - Phone:305-945-2803
Practice Address - Fax:305-945-7753
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist