| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRACE ANNE LUBBE | 1174274633 | 2022-01-15 |
Grace Anne Lubbe is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174274633. Registration indicates Grace Anne Lubbe is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers) (Dietary & Nutritional Service Providers, Dietitian, Registered) (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers) (Dietary & Nutritional Service Providers, Dietitian, Registered) (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Grace Anne Lubbe RD |
| Practice Office Address | 1500 JAMES SIMPSON JR WAY COVINGTON, KY US |
| Practice Office Telephone | 8596558910 |
| Practice Office Fax | 8596558911 |
| Mailing Address | PO BOX 635283 CINCINNATI, OH 452638523 US |
| Business Telephone | 8596558910 |
| Business Fax | 8596558911 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 09607
OH |
| 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 37003702A
IN |
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 277470
KY |