Individual
JEFFREY D LUBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
628 E 222ND ST, EUCLID, OH 44123-2032
(216) 731-8052
(216) 731-1855
Mailing address
628 E 222ND ST, EUCLID, OH 44123-2032
(216) 731-8052
(216) 731-1855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2220-L
OH
213ES0131X
Foot Surgery Podiatrist
36-00-2220-L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0592943
—
OH
Enumeration date
10/17/2005
Last updated
11/23/2009
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