Individual
DR. JOHN P LUBICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 STADIUM DR, MORGANTOWN, WV 26506
(304) 293-1312
(304) 293-7042
Mailing address
1 MEDICAL CENTER DRIVE, PO BOX 9196, MORGANTOWN, WV 26506-9196
(304) 293-1312
(304) 293-7042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01061459A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01061459A
LICENSE
IN
01
—
01061459B
CSR
IN
05
—
200405370
—
IN
Enumeration date
05/16/2006
Last updated
03/07/2023
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