Individual
MR. CHARLES H. LUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
608 PONDER PLACE DR, EVANS, GA 30809-3185
(706) 733-4344
Mailing address
312 RABUN VALLEY LN, MARTINEZ, GA 30907-9523
(706) 733-4344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002464
GA
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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