Provider Demographics
NPI:1659492619
Name:LUBBERSTEDT, BRIAN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DANIEL
Last Name:LUBBERSTEDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9239 W CENTER ROAD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1900
Mailing Address - Country:US
Mailing Address - Phone:402-399-9305
Mailing Address - Fax:402-397-3191
Practice Address - Street 1:9239 W CENTER ROAD
Practice Address - Street 2:SUITE 211
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1900
Practice Address - Country:US
Practice Address - Phone:402-399-9305
Practice Address - Fax:402-397-3191
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2014-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE231662084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry