Provider Demographics
NPI:1164993564
Name:LOBO ORZATTI, LILIBETH CAROLINA
Entity Type:Individual
Prefix:
First Name:LILIBETH
Middle Name:CAROLINA
Last Name:LOBO ORZATTI
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 1:23305 BARWOOD LN N APT 403
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6729
Mailing Address - Country:US
Mailing Address - Phone:561-639-2051
Mailing Address - Fax:
Practice Address - Street 1:23305 BARWOOD LN N APT 403
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6729
Practice Address - Country:US
Practice Address - Phone:561-639-2051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18-487246ZC0007X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant