Individual
MR. LAWRENCE D LUBOW
Active
Individual
MR. LAWRENCE D LUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD12397
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509289
—
TN
05
—
3047587
—
TN
01
—
4018017
BCBS
TN
01
—
4068957
BCBS
TN
01
—
4200784
BCBS TN
TN
01
—
64721343
KY MEDICAID
TN
05
—
64721343
—
KY
01
—
PENDING
RAILROAD MEDICARE
TN
Enumeration date
05/23/2006
Last updated
01/19/2009
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