Individual
TIMOTHY MICHAEL LUEBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4125 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7804
(719) 305-9000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
DR.0060422
CO
2084P0804X
Child & Adolescent Psychiatry Physician
TL.0005877
CO
Other
Enumeration date
03/22/2013
Last updated
09/17/2018
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