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David Jerome Lubbers, MD
Specialist in Edgewood, Kentucky
NPI 1134111503

David Jerome Lubbers is a Specialist based in Cleveland, KY. David Jerome Lubbers practices in Edgewood, KY and has the professional credentials of MD. The NPI Number for David Jerome Lubbers is 1134111503 and holds a License No. 24507 (Kentucky).

The current practice location address for David Jerome Lubbers is 1 Medical Village Dr, Edgewood, KY and can be reached out via phone at 859-301-2160 and via fax at 859-301-3932. You can also correspond with David Jerome Lubbers through the mailing address at PO BOX 932163, CLEVELAND, OH - 44193-0001 (mailing address contact number: 586-412-4000).

Location: 1 Medical Village Dr, Edgewood, KY, 44193-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134111503
Provider Name
David Jerome Lubbers
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Village Dr, Edgewood, KY, 44193-0001
Phone Number
859-301-2160
Fax Number
859-301-3932
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0060564 05 OH
0592569 05 OH
64245079 05 KY
300013439 01 RRMC
institution
Provider Business Practice Location Address Details
Address
1 Medical Village Dr
City
Edgewood
State
Kentucky
Zip
41017-3403
Phone Number
859-301-2160
Fax Number
859-301-3932
person
Provider Business Mailing Address Details
Address
1 Medical Village Dr
City
Edgewood
State
Kentucky
Zip
41017-3403
Phone Number
859-301-2160
Fax Number
859-301-3932
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
24507 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
24507 (Kentucky)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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