Individual provider · Type 1 NPI

Katelyn Lobnow

Medical Physician Assistant · Bristol, CT

NPI number 1609404177 Active

Practice location

508 Birch St
Bristol, CT 06010-7837

Call (378) 289-1860 Map

Mailing address

750 Highland Ave
Madison, WI 53705-2221

Other practice locations

  • 750 Highland Ave, Madison, WI 53705-2221 · (608) 263-5620

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5095-23 (WI)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1609404177

Katelyn Lobnow's National Provider Identifier is 1609404177, issued on Mar 31, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bristol, CT. The record was last updated on Feb 2, 2021.