Individual
DR. JOHN MICHAEL LUBER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 426-4142
Mailing address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 426-4142
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00035996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253267
STATE L&I
WA
05
—
8470924
—
WA
Enumeration date
07/11/2006
Last updated
05/11/2011
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