Individual
MS. LYDIA A HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
463 EAST CIRCLE DRIVE, EAST LANSING, MI 48824-1037
(517) 884-6546
(517) 432-9460
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780834069
—
MI
Enumeration date
09/23/2006
Last updated
06/09/2016
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