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Individual

MR. ERIC PAUL LUBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
13946 BALTIMORE AVE, LAUREL, MD 20707-5000
(301) 498-2212
(301) 498-2213
Mailing address
6018 DUCKEYS RUN RD, ELKRIDGE, MD 21075-6109
(443) 735-7775
(410) 720-2151

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18509
MA
225100000X
Physical Therapist
Primary
22777
MD
225100000X
Physical Therapist
PT 60076268
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22777
PT LICENSE
MD
Enumeration date
01/15/2009
Last updated
11/12/2019
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