Provider Demographics
NPI:1598472623
Name:LADU, LOBOJO DAVID (MS)
Entity Type:Individual
Prefix:
First Name:LOBOJO
Middle Name:DAVID
Last Name:LADU
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 J ST STE 15
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2916
Mailing Address - Country:US
Mailing Address - Phone:402-824-2600
Mailing Address - Fax:402-442-0065
Practice Address - Street 1:650 J ST STE 15
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2916
Practice Address - Country:US
Practice Address - Phone:402-824-2600
Practice Address - Fax:402-442-0065
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health