Individual
LISA HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5743 PRESTON HWY, LOUISVILLE, KY 40219-1305
(502) 444-6008
Mailing address
PO BOX 740017, ATLANTA, GA 30374-0017
(737) 644-3941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009883
KY
363LF0000X
Family Nurse Practitioner
71005981A
IN
Other
Enumeration date
01/19/2016
Last updated
10/01/2024
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