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Individual

DR. PHILLIP D LUEBBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101042958
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101042958
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002189
OPTIMA
VA
01
139178
BCBS
VA
05
1972587152
VA
01
300035674
RR MEDICARE
VA
05
890559U
NC
Enumeration date
12/01/2005
Last updated
11/21/2023
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