Individual
KIERSTIN LUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6100
Mailing address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
336779-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/17/2026
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