NPI 1205870045
Mark Lobanoff, MD
Practice location
- Address
- 6099 Wayzata Blvd STE 100-120, St Louis Park, MN 55416-5538
- Phone
- (952) 204-5060
- Fax
- (952) 204-9060
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1205870045
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jun 2006
- Record last updated
- 28 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.