Provider Demographics
NPI:1962809053
Name:LOBER, LAURA KALINEN (APRN)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KALINEN
Last Name:LOBER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:KALINEN
Other - Last Name:LOBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:COMMUNITY HEALTH CENTERS OF RUTLAND REGION
Mailing Address - Street 2:77 ALLEN POND ROAD, SUITE 101
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701
Mailing Address - Country:US
Mailing Address - Phone:802-855-2083
Mailing Address - Fax:
Practice Address - Street 1:RUTLAND COMMUNITY HEALTH CENTER
Practice Address - Street 2:215 STRATTON ROAD
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701
Practice Address - Country:US
Practice Address - Phone:802-773-3386
Practice Address - Fax:802-773-4578
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0114920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily