Individual
DR. PETER LUBISICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 SE 120TH AVE STE 100, VANCOUVER, WA 98683-4067
(360) 256-1755
(360) 882-8080
Mailing address
300 SE 120TH AVE STE 100, VANCOUVER, WA 98683-4067
(360) 256-1755
(360) 882-8080
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3798
WDS ID
WA
01
—
409293
UNITED CONCORDIA/TRICARE
WA
Enumeration date
08/10/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us