Provider Demographics
NPI:1427571611
Name:CHOBOT, LORA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:ELIZABETH
Last Name:CHOBOT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:ELIZABETH
Other - Last Name:DOEBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:215 UNION AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3063
Mailing Address - Country:US
Mailing Address - Phone:087-222-9009
Mailing Address - Fax:
Practice Address - Street 1:215 UNION AVE STE A
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3063
Practice Address - Country:US
Practice Address - Phone:908-722-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA059049363AM0700X
NJ25MP00639100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical