Provider Demographics
NPI:1417384470
Name:GARCIA, KEITH BARRY LUBRIN (DNP,ARNP,NP-C)
Entity type:Individual
Prefix:
First Name:KEITH BARRY
Middle Name:LUBRIN
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DNP,ARNP,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 79 BOX 144
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09714-0002
Mailing Address - Country:US
Mailing Address - Phone:514-566-5033
Mailing Address - Fax:
Practice Address - Street 1:UNIT 33100
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:BE
Practice Address - Phone:514-566-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00169785163W00000X
TX899927163W00000X
TXAP131345363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse