| Organization Name: | MARK JAMES LOBITZ DO CMD PC |
| NPI Number: | 1295937548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK JAMES LOBITZ (CORPORATE OFFICER) |
| Mailing Address: | 400 W 23rd St Hazleton |
| State: | PA US |
| Postal Code: | 182021308 |
| Phone Number: | 5704556000 |
| Fax Number: | 5704557371 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS005223-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |