Provider Demographics
NPI:1528132164
Name:LUBKIN, HUGH JEFFREY (DC)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:JEFFREY
Last Name:LUBKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9632 EMERALD OAK DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-1082
Mailing Address - Country:US
Mailing Address - Phone:916-685-1718
Mailing Address - Fax:916-685-1652
Practice Address - Street 1:9632 EMERALD OAK DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-1082
Practice Address - Country:US
Practice Address - Phone:916-685-1718
Practice Address - Fax:916-685-1652
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-18514111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic