Healthcare Provider Details

I. General information

NPI: 1285647628
Provider Name (Legal Business Name): BARBARA J LUBBEN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 MAIN ST
SAFETY HARBOR FL
34695-3455
US

IV. Provider business mailing address

945 MAIN ST
SAFETY HARBOR FL
34695-3455
US

V. Phone/Fax

Practice location:
  • Phone: 727-726-9116
  • Fax: 727-724-8842
Mailing address:
  • Phone: 727-726-9116
  • Fax: 727-724-8842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6608
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number18513
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX004883
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: