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NPI Code Detail

MEDICARE: HEATHER JULIA LUBINSKI

MEDICARE: HEATHER JULIA LUBINSKI
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19077933168OTHERPHONE

General Provider Information

NPI Number : 1730794785
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER JULIA LUBINSKI
Provider Business Mailing Address
First Line : 3600 SAN JERONIMO DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2870
Country : US
Telephone Number : 907-793-3600
Fax Number :
Provider Business Practice Location Address
First Line : 3710 E 20TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3418
Country : US
Telephone Number : 190-776-4384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2020
Last Update Date : 04/22/2022

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Directions to “ HEATHER JULIA LUBINSKI ” Practice Location

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