Individual
MR. LUBASI AKOMBELWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(618) 257-6220
(618) 257-6679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209032027
IL
Other
Enumeration date
05/30/2018
Last updated
09/17/2025
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