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Individual

DR. RICHARD M LUBAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
700 OAK ST, BROCKTON, MA 02301-1105
(508) 584-8886
(508) 584-8500
Mailing address
30 OLD FARM RD, BRIDGEWATER, MA 02324-3448
(508) 584-8886
(508) 584-8500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4196
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0320625
MA
Enumeration date
12/29/2006
Last updated
07/08/2007
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