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Individual
JACK E LUBER
Active
Individual
JACK E LUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD1514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334189
—
MA
01
—
795450
TUFTS HEALTH CARE
MA
01
—
Y70615
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/01/2006
Last updated
07/08/2007
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