Individual
JACLYNN LEA LUBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
926 WASHINGTON AVE, HOLLAND, MI 49423-7725
(616) 393-0166
(616) 393-0167
Mailing address
926 WASHINGTON AVE, HOLLAND, MI 49423-7725
(616) 393-0166
(616) 393-0167
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704197507
MI
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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