Lisa Annette Lubbers
Nurse Practitioner - Neonatal
1305 W 18th St
Sioux Falls
, South Dakota 57105-0401
Lisa Annette Lubbers
Nurse Practitioner - Neonatal
1305 W 18th St
Sioux Falls
, South Dakota 57105-0401
(605) 328-3001
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Lisa Annette Lubbers
- 1305 W 18th St
- Sioux Falls, SD
- Zip : 57105-0401
- Fax : (605) 328-3001
- Phone : (605) 328-3000
Second Address
- Lisa Annette Lubbers
- 1305 W 18th St
- Sioux Falls, SD
- Zip : 57105-0401
- Fax : (605) 328-3001
- Phone : (605) 328-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | CP000374 | SD |
| N | 363LN0000X | Nurse Practitioner - Neonatal | R160724-0 | MN |
National Provider Identifier
| NPI | 1093838963 |
|---|---|
| Provider Name | Lisa Annette Lubbers |
| First Address | Sioux Falls, SD 57105-0401 |
| Second Address | Sioux Falls, SD 57105-0401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2007 |
| Last Update Date | 05/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4993173 | WELLMARK (01) | SD |
| 6829300 | (05) | SD |
| 9254403 | DAKOTACARE (01) | SD |
| CP000374 | CNP LICENSE (01) | SD |
| LUB1-0430-2308 | NCC ID (01) | SD |
| R 160724-0 | MN RN (01) | MN |
| R0287659 | RN LICENSE (01) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.