Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA LOBAN
Active Sole ProprietorBehavioral Health, Residential · VICTOR, ID
Registration Details
- NPI Number
- 1902205230
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2014 (11.705340169046 yrs)
- Last Updated
- Aug 22, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
5049 FOX CREEK HOLLOWVICTOR, ID, 834550000Browse ID providers · Browse ZIP 83455
- Phone
- 2082013467
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in VICTOR, ID
| Name | Credential | NPI |
|---|---|---|
| AMY HERZOG | LCSW | 1861534133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.