Individual
DR. LISA HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1016 S SERVICE RD W, FORISTELL, MO 63348-1462
(314) 852-0977
Mailing address
1105 BURGUNDY LN, BALLWIN, MO 63011-4107
(636) 527-5853
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003028820
MO
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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