Provider Demographics
NPI:1073336590
Name:LINDBERG-LOBOSCO, ALEXANDREA JANICE (APRN)
Entity type:Individual
Prefix:
First Name:ALEXANDREA
Middle Name:JANICE
Last Name:LINDBERG-LOBOSCO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 CORNWALLIS PKWY
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-4069
Mailing Address - Country:US
Mailing Address - Phone:941-586-5232
Mailing Address - Fax:
Practice Address - Street 1:2008 CORNWALLIS PKWY
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-4069
Practice Address - Country:US
Practice Address - Phone:941-586-5232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily