Provider Demographics
NPI:1063822617
Name:LUBS, LINDA L (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:L
Last Name:LUBS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 JOHN GLENN DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228
Mailing Address - Country:US
Mailing Address - Phone:716-998-8370
Mailing Address - Fax:
Practice Address - Street 1:210 JOHN GLENN DR
Practice Address - Street 2:SUITE 1
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2213
Practice Address - Country:US
Practice Address - Phone:716-998-8370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor