Individual
LAWRENCE JEFFREY HUBACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110A AIRPORT RD S STE A, PEARL, MS 39208-6698
(601) 936-2887
(855) 866-6287
Mailing address
510 PINE HILL PL, FLOWOOD, MS 39232-8994
(769) 798-2921
(855) 866-6287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13184
MS
207QB0002X
Obesity Medicine (Family Medicine) Physician
13184
MS
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
13184
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114632
—
MS
05
—
09014778
—
MS
Enumeration date
06/27/2006
Last updated
07/10/2025
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