Individual
BERNARD JOSEPH LUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4607 MACCORKLE AVE SW STE 206, SOUTH CHARLESTON, WV 25309-1364
(304) 766-1133
(304) 766-1136
Mailing address
4607 MACCORKLE AVE SW STE 206, SOUTH CHARLESTON, WV 25309-1364
(304) 766-1133
(304) 766-1131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12708
WV
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
12708
WV
Other
Enumeration date
12/08/2006
Last updated
01/07/2021
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