Individual
JUDITH RICHARDSON LUBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1166 DUBLIN RD STE 400, COLUMBUS, OH 43215-1081
(740) 380-8344
Mailing address
22498 CLAY LICK RD, LOGAN, OH 43138-9749
(740) 380-9241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35054890L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315927
HOCKING BCBS
—
01
—
000000367000
BCBS
OH
05
—
0945062
—
OH
01
—
P00252404
MEDICARE RR HOCKING
—
Enumeration date
05/09/2006
Last updated
12/05/2016
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