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NPI Code Detail

MEDICARE: NANCY R LUBER LSCSW

MEDICARE:   NANCY R LUBER  LSCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2499KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135327012OTHERKSBCBS OF KC

General Provider Information

NPI Number : 1417996828
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY R LUBER LSCSW
Provider Business Mailing Address
First Line : 6000 LAMAR AVE
Second Line : STE 130
City : MISSION
State : KS
Zip : 66202-3234
Country : US
Telephone Number : 913-831-2550
Fax Number : 913-826-1589
Provider Business Practice Location Address
First Line : 1125 W SPRUCE ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-3123
Country : US
Telephone Number : 913-715-7700
Fax Number : 913-826-1589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 06/04/2013

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Directions to “ NANCY R LUBER LSCSW” Practice Location

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