Individual
LORI C BUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 JULIAN LN, SUITE 630, ARDEN, NC 28704-7813
(828) 651-0121
(828) 651-0141
Mailing address
600 JULIAN LN, SUITE 630, ARDEN, NC 28704-7813
(828) 651-0121
(828) 651-0141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-01569
NC
208000000X
Pediatrics Physician
2007-01569
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909551
—
NC
01
—
NCP462A
MEDICARE-PALMETTO
NC
Enumeration date
01/06/2006
Last updated
01/28/2016
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