Individual
DR. GREGORY J RUBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4720
(337) 494-2085
Mailing address
PO BOX 122425 DEPT 2425, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD199953
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478865
—
LA
01
—
P00332411
RAILROAD MEDICARE
LA
Enumeration date
10/27/2005
Last updated
06/09/2022
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