Provider Demographics
NPI:1639429053
Name:LUBEGA, SHAKIRA (RN BSN)
Entity Type:Individual
Prefix:
First Name:SHAKIRA
Middle Name:
Last Name:LUBEGA
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SKYLINE DR
Mailing Address - Street 2:1
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-6703
Mailing Address - Country:US
Mailing Address - Phone:978-640-0066
Mailing Address - Fax:
Practice Address - Street 1:1100 SKYLINE DR
Practice Address - Street 2:1
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-6703
Practice Address - Country:US
Practice Address - Phone:978-640-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN276938163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse