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LUBBOS MEDICAL CLINIC NPI 1922146844


NPI Information

NPI: 1922146844
Provider Name: LUBBOS MEDICAL CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 19D0715218

Address:
201 W ARKANSAS ST
LEESVILLE, LA
ZIP 71446
Phone: (337) 239-7227
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LUBBOS MEDICAL CLINIC is a specialist in Leesville, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LUBBOS MEDICAL CLINIC NPI is 1922146844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 W ARKANSAS ST
LEESVILLE, LA
ZIP 71446-752
Phone: (337) 239-7227
Fax: (337) 238-4299

The provider's authorized official is Hanna G. Lubbos .
The authorized official title is Owner Md and has the following contact phone number (337) 239-7227.

The CLIA number assigned to this NPI record is 19D0715218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 6/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist11793RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15CD07MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21948870MEDICAIDLOUISIANA
3G40216MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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