Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lori Stupp-Bobula, PA-C

Individual provider Physician Assistant · NPI 1174567374

Lori Stupp-Bobula, PA-C is a Physician Assistant in Cincinnati, Ohio. Licensed in Florida, Illinois, Kentucky and New Jersey and 2 more. Registered with an NPI since 2006.

Licensed in
FL, IL, KY, NJ, NY, OH
In the registry since
2006
Specialties on file
7
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3200 Vine St
Cincinnati, OH 45220-2213
Phone: (513) 475-6509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4787-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9109437 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00071900 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA 1739 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 085004287 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 50.003029 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 004787 (NY)

Record details

NPI number1174567374
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJune 9, 2020
Certification dateJune 9, 2020

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