Provider Demographics
NPI:1811711690
Name:LOBEL, ERICA COURTNEY (PA)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:COURTNEY
Last Name:LOBEL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:7505 EGYPT LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3445
Mailing Address - Country:US
Mailing Address - Phone:813-449-2045
Mailing Address - Fax:
Practice Address - Street 1:2020 SEVEN SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3933
Practice Address - Country:US
Practice Address - Phone:727-777-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant