Individual
LUBNA TAYYAB SORATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, GERIATRICS, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, GERIATRICS, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46195
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
64303-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92720234
—
CO
Enumeration date
10/19/2007
Last updated
07/14/2015
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