Sagan Mallory Loburak, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN632858 Issued in PA

Practice address

47 W Lehman Ave
Hatboro, PA 19040-3943

Phone

(215) 262-8450

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1316505209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W LEHMAN AVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403943",
            "telephone_number": "215-262-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W LEHMAN AVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403943",
            "telephone_number": "215-262-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBURAK",
        "first_name": "SAGAN",
        "middle_name": "MALLORY",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN632858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn S Levin, O.D.
• Roman Levitskiy
• Ian Lieberman, DDS
• Jenny Limm, MFT, M.ED
• Jessica Lobron, LBS
• Margaret Mary Loiacono, PTA
• Luther Woods Nursing Home, LTD.
• Luther Woods SNF, LLC
• M I L E S Community Care Services LLC
• M I L E S Community Care Services LLC

• Registered Nurse in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.