Provider Demographics
NPI:1366324949
Name:LOBANA, RAKUL
Entity type:Individual
Prefix:
First Name:RAKUL
Middle Name:
Last Name:LOBANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7260 S CIMARRON RD STE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2137
Mailing Address - Country:US
Mailing Address - Phone:702-444-4210
Mailing Address - Fax:702-444-4210
Practice Address - Street 1:7260 S CIMARRON RD STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2137
Practice Address - Country:US
Practice Address - Phone:702-444-4210
Practice Address - Fax:702-444-4210
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPT31805183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician