Individual
DR. DOUGLAS M LUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1026
(314) 362-5641
(314) 362-0369
Mailing address
660 S EUCLID AVE, C B 8118, SAINT LOUIS, MO 63110-1010
(314) 362-5641
(314) 362-0369
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
R1H27
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
R1H27
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705187201
—
MO
Enumeration date
07/17/2006
Last updated
08/22/2011
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