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Individual
DR. PHILLIP D LUEBBERT
Active
Individual
DR. PHILLIP D LUEBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101042958
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101042958
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002189
OPTIMA
VA
01
—
139178
BCBS
VA
05
—
1972587152
—
VA
01
—
300035674
RR MEDICARE
VA
05
—
890559U
—
NC
Enumeration date
12/01/2005
Last updated
11/21/2023
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