Provider Demographics
NPI:1093375586
Name:LUBEK, ZACHARY (DPM)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:LUBEK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1690 RIMROCK RD STE L
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0700
Mailing Address - Country:US
Mailing Address - Phone:406-256-0077
Mailing Address - Fax:406-256-3069
Practice Address - Street 1:1690 RIMROCK RD STE L
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0700
Practice Address - Country:US
Practice Address - Phone:406-256-0077
Practice Address - Fax:406-256-3069
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT104461213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery