Provider Demographics
NPI:1609313923
Name:LOBUE, LEANNE THERESA (ARNP)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:THERESA
Last Name:LOBUE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:T
Other - Last Name:STRASSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:400 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4105
Mailing Address - Country:US
Mailing Address - Phone:319-981-2209
Mailing Address - Fax:
Practice Address - Street 1:400 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4105
Practice Address - Country:US
Practice Address - Phone:319-981-2209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA163848363LF0000X
AZAP10343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily