Individual
CHARLES E LUBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 MEADE STREET, DUNMORE, PA 18512-3169
(570) 342-3675
(570) 342-3316
Mailing address
1100 MEADE ST, DUNMORE, PA 18512-3169
(570) 342-3675
(570) 342-3316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA-052918
PA
363A00000X
Physician Assistant
MA052918
PA
Other
Enumeration date
02/13/2007
Last updated
02/22/2013
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