Individual
SUSAN MARIE LUBAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.13816
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.13816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2246500
—
OH
Enumeration date
11/05/2012
Last updated
05/14/2026
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