Provider Demographics
NPI:1871692343
Name:LOBDELL, ELIZABETH ANN (RDH)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:LOBDELL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:648 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-2043
Mailing Address - Country:US
Mailing Address - Phone:979-417-3796
Mailing Address - Fax:281-980-5151
Practice Address - Street 1:101 SOUTHWESTERN BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3548
Practice Address - Country:US
Practice Address - Phone:281-980-5100
Practice Address - Fax:281-980-5151
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2011-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9379124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist