Individual
DR. LUBNA IZZATHULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1600
(443) 625-1520
Mailing address
17177 N LAUREL PARK DR, STE 131, LIVONIA, MI 48152-3952
(410) 308-4605
(443) 625-1520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0066085
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D0066085
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298521702
—
MD
Enumeration date
08/20/2007
Last updated
09/13/2022
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