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Individual

LEWIS P RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 545-7555
(915) 545-6975
Mailing address
4800 ALBERTA AVE, SUITE 101, EL PASO, TX 79905-2709
(915) 545-6720
(915) 545-5755

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
44130
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
ME 102283
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000229300
FL
05
2586698
OH
01
59037
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
12/04/2012
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