MEDICARE: CHRISTOPHER ANDREW LUBECK D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	006646	MO

General Provider Information

NPI Number	:	1336156710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ANDREW LUBECK D.C.

Provider Business Mailing Address
First Line	:	PO BOX 291
Second Line	:
City	:	LAWSON
State	:	MO
Zip	:	64062
Country	:	US
Telephone Number	:	816-296-7039
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E 6TH ST STE 200
Second Line	:
City	:	LAWSON
State	:	MO
Zip	:	64062
Country	:	US
Telephone Number	:	816-296-7039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	06/11/2018

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