Individual
THOMAS LUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 DUCKWOOD DR, EAGAN, MN 55122-1451
(952) 715-0429
Mailing address
1440 DUCKWOOD DR, EAGAN, MN 55122-1451
(952) 715-0429
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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