Individual
MRS. LARA MELINDA CUBBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT, CHAMBERSBURG, PA 17201-1720
(717) 267-7088
(717) 267-7463
Mailing address
3683 MOUNTAIN SHADOW LN, FAYETTEVILLE, PA 17222-9335
(717) 372-0011
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TE1003230
PA
Other
Enumeration date
02/08/2007
Last updated
04/04/2019
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