Provider Demographics
NPI:1407539679
Name:LUBBERS, SHELBY (RD)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:LUBBERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2228 DARCY LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2036
Mailing Address - Country:US
Mailing Address - Phone:406-839-8977
Mailing Address - Fax:
Practice Address - Street 1:2228 DARCY LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2036
Practice Address - Country:US
Practice Address - Phone:406-839-8977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered