Individual
DR. NOEMI TANEZA LUBRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 LAKEVIEW DR, ASHLAND, MS 38603-6052
(901) 430-6438
Mailing address
1130 LAKEVIEW DR, ASHLAND, MS 38603-6052
(901) 430-6438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6005
MS
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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