Doctor Name: | TEDDY LUBEGA |
NPI Number: | 1013238880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT2466 |
Business Practice Address: | 2228 Cherry Leaf Ln Silver Spring, MD - 209065733 |
Business Phone Number: | 2404179565 |
Business Fax Number: | 2402424723 |
Mailing Address: | 2228 Cherry Leaf Ln, SILVER SPRING |
State: | MD |
Postal Code: | 209065733 |
Phone Number: | 2404179565 |
Fax Number: | 2402424723 |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT2466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |