Provider Demographics
NPI:1427035872
Name:LOBB, SHEILA GAIL (ARNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:GAIL
Last Name:LOBB
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-1916
Mailing Address - Country:US
Mailing Address - Phone:606-678-4761
Mailing Address - Fax:606-676-9671
Practice Address - Street 1:220 INDUSTRIAL PARK
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743
Practice Address - Country:US
Practice Address - Phone:270-932-4341
Practice Address - Fax:270-932-6016
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1698P363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20023016Medicaid
KY20100012Medicaid
KY20901211Medicaid
KY20001012Medicaid
KY20044012Medicaid
KY20029013Medicaid
KY20116018Medicaid
KY20104014Medicaid
KY20109013Medicaid
KY300409Medicare PIN
KY20100012Medicaid
KY300109Medicare PIN
KY20001012Medicaid
KY300507Medicare PIN
KY300007Medicare PIN
KY20109013Medicaid
KY299907Medicare PIN
KY300209Medicare PIN
KY20029013Medicaid
KY300807Medicare PIN