Provider Demographics
NPI:1417138470
Name:LOBATON, EDUARDO ROBERTO (RD)
Entity Type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:ROBERTO
Last Name:LOBATON
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12305 HIGH COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6838
Mailing Address - Country:US
Mailing Address - Phone:661-588-0648
Mailing Address - Fax:
Practice Address - Street 1:12305 HIGH COUNTRY DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6838
Practice Address - Country:US
Practice Address - Phone:661-588-0648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00989095133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered