Provider Demographics
NPI:1821281056
Name:LOBAINA, ELIZABETH SARAH (MA,CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SARAH
Last Name:LOBAINA
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:SARAH
Other - Last Name:LOBAINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA,CCC/SLP
Mailing Address - Street 1:230 SILVER MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-3651
Mailing Address - Country:US
Mailing Address - Phone:352-497-9696
Mailing Address - Fax:
Practice Address - Street 1:1428 SUNRISE PLAZA DR STE 3
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6201
Practice Address - Country:US
Practice Address - Phone:352-301-7535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist