Individual
TRISTAN ROMAN LUBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3522
(801) 587-7000
Mailing address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
10670291-3102
UT
363L00000X
Nurse Practitioner
Primary
12345127-4405
UT
Other
Enumeration date
03/07/2021
Last updated
07/29/2021
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