Individual
DR. KENDALL L LUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114679
AETNA HMO
CO
05
—
11936860
—
CO
01
—
7911022
AETNA PPO
CO
01
—
84099770813
PACIFICARE
CO
01
—
8500654003
CIGNA
CO
Enumeration date
08/30/2005
Last updated
12/15/2020
Update your record
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