Individual
BENJAMIN JEFFERSON LAUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2465
(859) 301-4941
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2465
(859) 301-4941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC028
KY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/07/2025
Last updated
03/25/2025
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