Provider Demographics
NPI:1528812088
Name:LUBECK, KARA (MPH, RDN, LDN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:LUBECK
Suffix:
Gender:F
Credentials:MPH, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6035
Mailing Address - Country:US
Mailing Address - Phone:845-729-3484
Mailing Address - Fax:
Practice Address - Street 1:230 S PIERCE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6035
Practice Address - Country:US
Practice Address - Phone:845-729-3484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered