M. Todd Lobrano, Psychologist, L.L.C.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

M. TODD LOBRANO, PSYCHOLOGIST, L.L.C.

Practice address

3341 Youree Dr Ste 20a
Shreveport, LA 71105-2149

Phone

(318) 425-2000

Fax

(318) 424-2601

NPI assigned

Jan 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimber Fuller

Title

Office Manager

Phone

(318) 425-2000

Specialties & licenses 2

Addresses

Other names 1

• Goebel, Vigen, & Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1154951986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. TODD LOBRANO, PSYCHOLOGIST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-425-2000"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goebel, Vigen, & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goebel, Vigen, & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb Lytle
• M & D Enterprises, LLC
• M & E Reliable Transports, LLC
• M Patrick Davenport Appc
• M. Craig Bozeman, M.D., a.P.M.C.
• M&C LLC
• M&J Transit, LLC
• Lois Rayner Maberry, PT
• Alonzo Mable II, MD
• Amanda Jane Macaskill, LCSW

• Prescribing (Medical) Psychologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.