Individual
BROCK LUBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
9 S WESTERN AVE, SPRINGFIELD, OH 45506-1339
(937) 206-8498
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
007394
OH
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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