Individual
DR. GERRIE L LUBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
615 S MONROE AVE, SHOPKO EYECARE CENTER, MASON CITY, IA 50401-5061
(641) 424-8271
(641) 424-2359
Mailing address
615 S MONROE AVE, SHOPKO EYECARE CENTER, MASON CITY, IA 50401-5061
(641) 424-8271
(641) 424-2359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02156
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252080
—
IA
Enumeration date
08/17/2005
Last updated
03/08/2015
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