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Individual

HANNA G LUBBOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 W ARKANSAS ST, LEESVILLE, LA 71446-4752
(337) 239-7227
(337) 238-4299
Mailing address
PO BOX 780, 201 WEST ARKANSAS ST, LEESVILLE, LA 71496-0780
(337) 239-7227
(337) 238-4299

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
11793R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1687324
LA
01
72-1513327
TAX ID
LA
Enumeration date
08/13/2006
Last updated
01/11/2013
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