Provider Demographics
NPI:1497105506
Name:LOBBESTAEL, LAUREN (MED)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:LOBBESTAEL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:SCHULZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27777 INKSTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2105 LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4822
Practice Address - Country:US
Practice Address - Phone:419-291-7080
Practice Address - Fax:419-480-5901
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2025-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
OHCOBA.00819103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst