Provider Demographics
NPI:1649027996
Name:LOBELO, ROBERTO LEON FELIPE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:LEON FELIPE
Last Name:LOBELO
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:FELIPE
Other - Middle Name:
Other - Last Name:LOBELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1341 WOODLAND HILLS DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4625
Mailing Address - Country:US
Mailing Address - Phone:404-307-4027
Mailing Address - Fax:
Practice Address - Street 1:1341 WOODLAND HILLS DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4625
Practice Address - Country:US
Practice Address - Phone:404-307-4027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
SC224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No171400000XOther Service ProvidersHealth & Wellness Coach