Provider Demographics
NPI:1497950760
Name:LUBER, PAULA HENNEN (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:HENNEN
Last Name:LUBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:317 N EL CAMINO REAL STE 402
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2815
Mailing Address - Country:US
Mailing Address - Phone:760-944-3408
Mailing Address - Fax:760-479-0875
Practice Address - Street 1:317 N EL CAMINO REAL STE 402
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2815
Practice Address - Country:US
Practice Address - Phone:760-944-3408
Practice Address - Fax:760-479-0875
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG60507207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine