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Individual

DR. JAMES ARNOLD LUEBBERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
687 EAST KELLY AVE., BX 3797, JACKSON, WY 83001-3797
(307) 734-6553
(307) 733-8444
Mailing address
687 EAST KELLY AVE., BX 3797, JACKSON, WY 83001-3797
(307) 734-6553
(307) 733-8444

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6046A
WY
207W00000X
Ophthalmology Physician
G34211
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G342110
CA
Enumeration date
04/08/2010
Last updated
04/08/2010
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