Individual
JOHN DAVID LUBAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 STATE ST, SUITE 205, ERIE, PA 16507-1427
(814) 456-6022
(814) 456-7040
Mailing address
300 STATE ST, SUITE 205, ERIE, PA 16507-1427
(814) 456-6022
(814) 456-7040
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
1298001
NY
207XS0106X
Orthopaedic Hand Surgery Physician
35050066
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD025337E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008161490001
—
PA
Enumeration date
07/25/2006
Last updated
07/08/2007
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