Provider Demographics
NPI:1619135506
Name:LOBITZ & LOBITZ PC
Entity Type:Organization
Organization Name:LOBITZ & LOBITZ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:W
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LOBITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-757-5200
Mailing Address - Street 1:950 S CHERRY ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246
Mailing Address - Country:US
Mailing Address - Phone:303-757-5200
Mailing Address - Fax:303-757-6519
Practice Address - Street 1:950 S CHERRY ST
Practice Address - Street 2:SUITE 420
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2699
Practice Address - Country:US
Practice Address - Phone:303-757-5200
Practice Address - Fax:303-757-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO97286Medicare PIN