Individual
KAITLYN LUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
100 UPPER DEMUNDS RD, DALLAS, PA 18612-8811
(888) 694-9996
Mailing address
69 JAMES ST, KINGSTON, PA 18704-4722
(570) 877-8862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG06190049
PA
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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