Individual
MR. ERIC LUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
601 MAPLE AVE, HONESDALE, PA 18431-2176
(570) 253-7322
Mailing address
168 WATTS HILL RD, HONESDALE, PA 18431-2176
(570) 253-0205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001510A
PA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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