Active NPIIndividual providerSole proprietor

Katelyn Lobnow

Physician Assistant, Medical in Bristol, Connecticut

NPI Number1609404177
Practice location
508 Birch St, Bristol, CT 06010-7837
Fax
—
Last updated
February 2, 2021

Katelyn Lobnow is a Physician Assistant, Medical based in Bristol, CT. Katelyn Lobnow practices in Bristol, CT. The NPI Number for Katelyn Lobnow is 1609404177 and holds a License No. 5095-23 (WI). The current practice location address for Katelyn Lobnow is 508 Birch St, Bristol, CT 06010-7837 and can be reached out via phone at 378-289-1860.

Provider Profile Details

NPI Number
1609404177
Provider Name
Katelyn Lobnow
Provider Entity Type
Individual
Gender
Female
Address
508 Birch St, Bristol, CT 06010-7837
Phone Number
378-289-1860
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2020
Last Update Date
February 2, 2021
Certification Date
February 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
508 Birch St
Bristol, CT 06010-7837
Zip
06010-7837
Phone Number
378-289-1860
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
750 Highland Ave
Madison, WI 53705-2221
City
Madison
State
WI
Zip
53705-2221

License Information

License Number (1)
5095-23
License State (1)
WI
Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katelyn Lobnow?

The NPI number of Katelyn Lobnow is 1609404177. It was assigned on March 31, 2020 and is currently active in the NPPES registry.

What is the specialty of Katelyn Lobnow?

Katelyn Lobnow is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in WI under license number 5095-23.

Where does Katelyn Lobnow practice?

The practice location is 508 Birch St, Bristol, CT 06010-7837. The office can be reached at 378-289-1860 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609404177 directly on the NPPES registry website.

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