Lubben, Mary

Lubben, Mary is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Lubben, Mary can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 01839 Iowa

Profile Details

NPI number 1598948168
LBN Legal business name Lubben, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Dec 6th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598948168 NPPES
Iowa MEDICAID 0076372

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