Individual
DR. LAURIE J POLUBINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01059187
IN
2084P0800X
Psychiatry Physician
35090420
OH
2084P0800X
Psychiatry Physician
Primary
43242
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200488180
—
IN
Enumeration date
07/31/2006
Last updated
04/29/2015
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