Basic Information
| Provider Information | |||||||||
| NPI: | 1629278759 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUBER | ||||||||
| FirstName: | LU | ||||||||
| MiddleName: | Y | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1315 S CLIFF AVE | ||||||||
| Address2: | STE. 2000 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053225800 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1315 S CLIFF AVE | ||||||||
| Address2: | STE. 2000 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053225800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2007 | ||||||||
| LastUpdateDate: | 04/25/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 067649 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | 10023 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.