Individual
STEVEN M LUBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852
Mailing address
1500 S LAKE PARK AVE, MANAGED CARE DEPARTMENT, HOBART, IN 46342-6638
(219) 947-6113
(219) 947-6503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036087048
IL
207Q00000X
Family Medicine Physician
02003910A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201034920
—
IN
Enumeration date
02/28/2007
Last updated
10/10/2017
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