Individual
STEPHANIE ANNE LUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9080 OAK LEAF WAY, GRANITE BAY, CA 95746-8903
(831) 345-0880
Mailing address
10400 MILOANN ST, TEMPLE CITY, CA 91780-3471
(831) 345-0880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
674700
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3952
CA
390200000X
Student in an Organized Health Care Education/Training Program
674700
CA
Other
Enumeration date
06/07/2010
Last updated
03/13/2025
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