Provider Demographics
NPI:1881232072
Name:LOBITZ, CARL AUSTIN (MDS, RDN, LD)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:AUSTIN
Last Name:LOBITZ
Suffix:
Gender:M
Credentials:MDS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 ROMERIA DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2070
Mailing Address - Country:US
Mailing Address - Phone:210-618-2210
Mailing Address - Fax:
Practice Address - Street 1:850 ROMERIA DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2070
Practice Address - Country:US
Practice Address - Phone:210-618-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86028133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management