Individual
DR. STACEY JILL LUBETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4953
(941) 405-1553
Mailing address
11914 PERENNIAL PL, LAKEWOOD RANCH, FL 34211-3220
(732) 233-0037
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
050066
NY
1223P0221X
Pediatric Dentistry
22DI02284400
NJ
1223P0221X
Pediatric Dentistry
Primary
DTP663
FL
Other
Enumeration date
01/14/2007
Last updated
03/10/2020
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