Individual
DR. SUSAN LEE HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
939 W MARKET ST, STE 1, LIMA, OH 45805-2738
(419) 228-5434
(419) 228-4620
Mailing address
939 W MARKET ST, STE 1, LIMA, OH 45805-2738
(419) 228-5434
(419) 228-4620
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-04-1078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120843
BLUE SHIELD
—
05
—
0432277
—
OH
01
—
250001154
RAILROAD MEDICARE
—
01
—
341526576 00
WC
OH
Enumeration date
11/08/2005
Last updated
02/19/2018
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