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Individual

DR. ELIZABETH MARIE LAUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-2521
(574) 335-2262
Mailing address
810 PARK PL, MISHAWAKA, IN 46545-3520
(574) 335-2521
(574) 335-2262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01028636A
IN
207R00000X
Internal Medicine Physician
Primary
4301082777
MI
208M00000X
Hospitalist Physician
4301082777
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000573680
ANTHEM
IN
01
000000758110
BCBS
IN
05
100223240
IN
01
3002048
OH MEDICAID
IN
01
P00632885
RAILROAD MEDICARE
IN
Enumeration date
09/30/2005
Last updated
09/18/2015
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