Kristina Lynn Lobb, RDH, BS

Individual provider Active NPI Dental Hygienist · Tonganoxie, KS

NPI 1962736884 · NPPES record last updated Sep 24, 2009

Key facts

NPI
1962736884
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
2005015346 (MO)
Practice address
706 River St
Tonganoxie, KS 66086-9586
Phone
(913) 634-0417
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
10594KSMDDental Hygienist
2005015346MOMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2005015346 MO Yes
Dental Hygienist 124Q00000X 10594 KS

Addresses

Primary practice location

706 River St
Tonganoxie, KS 66086-9586

Mailing address

706 River St
Tonganoxie, KS 66086-9586
Phone (913) 634-0417

Other names

  • Kristina Lynn Ladas Former name

Other providers in Tonganoxie, KS

All providers in Tonganoxie, KS · Dental Hygienist in Kansas

Sources for this page

Verify at the official NPI Registry.