Individual
DR. HENRY WAYNE LUBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23480 PARK SORRENTO, SUITE 100-B, CALABASAS, CA 91302-1352
(818) 222-9304
(818) 222-9310
Mailing address
23480 PARK SORRENTO, SUITE 100-B, CALABASAS, CA 91302-1352
(818) 222-9304
(818) 222-9310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G27659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G27659
STATE LICENSE
CA
Enumeration date
06/08/2007
Last updated
03/07/2023
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