Individual
DR. DOUGLAS E LUBEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3240 SUNSET BLVD, WEST COLUMBIA, SC 29169-3428
(803) 808-0523
(803) 794-6503
Mailing address
470 HULON LN, WEST COLUMBIA, SC 29169-4841
(803) 808-0523
(803) 794-6503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9453
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094533
—
SC
Enumeration date
04/13/2006
Last updated
03/06/2019
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