Provider Demographics
NPI:1528321981
Name:LOBERG, TAMMY (DVM)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:
Last Name:LOBERG
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-5157
Mailing Address - Country:US
Mailing Address - Phone:712-252-9999
Mailing Address - Fax:712-277-4400
Practice Address - Street 1:4010 STADIUM DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-5157
Practice Address - Country:US
Practice Address - Phone:712-252-9999
Practice Address - Fax:712-277-4400
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6928174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian