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Individual

DR. DUSTIN OLIVER LYBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1242
Mailing address
3551 ROGER BROOKE DR., DEPT OF ORTHOPEDICS, FORT SAM HOUSTON, TX 78234
(210) 916-1242

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101240556
VA
207X00000X
Orthopaedic Surgery Physician
ME 121785
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101240556
VA
2083A0100X
Aerospace Medicine Physician
0101240556
VA

Other

Enumeration date
02/07/2007
Last updated
11/28/2021
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