Provider Demographics
NPI:1699897520
Name:LOOKABAUGH, CINDY K (MD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:K
Last Name:LOOKABAUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:173 PERUVIAN AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6721
Mailing Address - Country:US
Mailing Address - Phone:561-386-1595
Mailing Address - Fax:561-820-8780
Practice Address - Street 1:350 S COUNTY RD STE 204
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-4450
Practice Address - Country:US
Practice Address - Phone:561-659-9020
Practice Address - Fax:561-820-8780
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00362682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039243000Medicaid
FL039243000Medicaid
FLD21854Medicare UPIN