Individual
DR. JEFFREY H LUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HARBOR BLVD, #927, DESTIN, FL 32541-7374
(570) 760-6939
Mailing address
23811 CANELLA CT, #927, RICHMOND, TX 77406-1522
(775) 247-2733
(281) 783-2556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD026079E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001033178
—
PA
Enumeration date
05/16/2006
Last updated
02/17/2017
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