Individual provider · Type 1 NPI

Lubasi Akombelwa, NP

Nurse Practitioner · Belleville, IL

NPI number 1811489479 Active

Practice location

4500 Memorial Dr
Belleville, IL 62226-5360

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

  • 2880 Netherton Dr Ste 200, St. Louis, MO 63136-4697 · (314) 355-5300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209032027 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811489479

Lubasi Akombelwa, NP's National Provider Identifier is 1811489479, issued on May 30, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Sep 17, 2025.