Individual
LYNSEY HOWARD HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 OLYMPIC DR, 112, CORONA, CA 92881-3393
(951) 278-4717
(951) 272-2815
Mailing address
1180 OLYMPIC DR, 112, CORONA, CA 92881-3393
(951) 278-4717
(951) 272-2815
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA0014970
—
CA
Enumeration date
09/27/2006
Last updated
07/08/2007
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