Individual
NOAH BURT LUBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
4786 W 3450 S, WEST HAVEN, UT 84401-8803
(830) 765-7366
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12029960-4405
UT
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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