Individual
MRS. DEBRA LYN LUBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
51 SYCAMORE AVE, LAKE GROVE, NY 11755-2734
(631) 580-0659
(631) 580-0659
Mailing address
51 SYCAMORE AVENUE, LAKE GROVE, NY 11755
(631) 580-0659
(631) 580-0659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006400
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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