Individual
LUBNA SARRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1142 E 9 MILE RD, HAZEL PARK, MI 48030-1901
(248) 817-4742
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301105768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301105768
PHYSICIAN LICENSE
MI
01
—
5315080280
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
05/06/2014
Last updated
12/14/2023
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