Provider Demographics
NPI:1871039370
Name:LEE, LOBELIA ANN (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:LOBELIA
Middle Name:ANN
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:6516 MONONA DR # 124
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-4026
Mailing Address - Country:US
Mailing Address - Phone:608-621-8409
Mailing Address - Fax:608-413-6196
Practice Address - Street 1:5411 PRESTON PL
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-9438
Practice Address - Country:US
Practice Address - Phone:608-621-8409
Practice Address - Fax:608-413-6196
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1312-124106H00000X
TX204636106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist