Provider Demographics
NPI:1255689980
Name:LOBO, DAVID THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:THOMAS
Last Name:LOBO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL COURT
Mailing Address - Street 2:LAKERIDGE HEALTH SYSTEM
Mailing Address - City:OSHAWA
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L1G2B9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL COURT
Practice Address - Street 2:LAKERIDGE HEALTH SYSTEM
Practice Address - City:OSHAWA
Practice Address - State:ONTARIO
Practice Address - Zip Code:L1G2B9
Practice Address - Country:CA
Practice Address - Phone:905-576-8711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine