Individual
MICHELLE HUTT LUBKEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 DEERFIELD RD, SUITE A, BOONE, NC 28607-5009
(828) 262-0100
(828) 264-7592
Mailing address
345 DEERFIELD RD, SUITE A, BOONE, NC 28607-5009
(828) 262-0100
(828) 264-7592
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101640
NC MEDICAL BOARD LICENSE
NC
Enumeration date
09/19/2007
Last updated
03/07/2023
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