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Organization

LUBBOS MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANNA G. LUBBOS MD (OWNER MD)
(337) 239-7227
Entity
Organization

Contact information

Practice address
201 W ARKANSAS ST, LEESVILLE, LA 71446-4752
(337) 239-7227
(337) 238-4299
Mailing address
201 W ARKANSAS ST, P.O. BOX 780, LEESVILLE, LA 71446-4752
(337) 239-7227
(337) 238-4299

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11793R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1948870
LA
Enumeration date
02/02/2007
Last updated
06/02/2009
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