Individual
MR. LAWRENCE D LUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
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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