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Individual

DR. RICHARD R LUBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2904
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
147836-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
MD425710
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02633232
NY
05
1012110670001
PA
01
CC8362
RR MEDICARE GROUP
NY
01
CC9269
RR MEDICARE - GROUP
PA
01
GU039794
PA MEDICARE GROUP
PA
01
P00277810
RR MEDICARE PIN
PA
01
P00379064
RR MEDICARE PIN
NY
Enumeration date
01/31/2006
Last updated
09/15/2011
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