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Individual

CALEB LAUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21711
AZ
207Q00000X
Family Medicine Physician
Primary
MD2020-0263
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199366
AZ
05
42453054
NM
01
P00331308
MEDICARE RAIL ROAD ID
AZ
Enumeration date
02/26/2006
Last updated
09/06/2024
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