Provider Demographics
NPI:1821797739
Name:LOBBERECHT, CASANDRA LYNNETTE (RN)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:LYNNETTE
Last Name:LOBBERECHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 200TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW SHARON
Mailing Address - State:IA
Mailing Address - Zip Code:50207-8079
Mailing Address - Country:US
Mailing Address - Phone:641-638-0977
Mailing Address - Fax:
Practice Address - Street 1:2508 200TH ST
Practice Address - Street 2:
Practice Address - City:NEW SHARON
Practice Address - State:IA
Practice Address - Zip Code:50207-8079
Practice Address - Country:US
Practice Address - Phone:641-638-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA098855163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health