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Individual

DR. KENDALL L LUBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7780 S BROADWAY, SUITE 100, LITTLETON, CO 80122-2648
(303) 798-9996
(303) 730-1145
Mailing address
205 S GARRISON ST, LAKEWOOD, CO 80226-2843
(720) 728-5170
(303) 730-1145

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
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