NPI 1386457562

Thomas Luby

Practitioner Peer Specialist Eagan, MN

Practice location

Address: 1440 Duckwood Dr, Eagan, MN 55122-1451
Phone: (952) 715-0429

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1386457562
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2025
Record last updated: 30 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.