Individual
LESTER DOMINICK HUBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 487-0284
Mailing address
3705 S 74TH ST APT 109, OMAHA, NE 68124-3597
(314) 378-2121
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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