Individual provider · Type 1 NPI

Michael Lawrence Hubbard

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1861387581 Active

Practice location

3020 Childrens Way # MC5018
San Diego, CA 92123-4223

Fax (858) 966-6733

Mailing address

10009 Rio San Diego Dr Apt 166
San Diego, CA 92108-5634

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861387581

Michael Lawrence Hubbard's National Provider Identifier is 1861387581, issued on Jun 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 11, 2025.