Individual
DR. PIERRE R LUBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
716 N FERNCREEK AVE, ORLANDO, FL 32803-4125
(407) 228-1766
Mailing address
716 N FERNCREEK AVE, ORLANDO, FL 32803-4125
(407) 228-1766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5172
FL
Other
Enumeration date
01/16/2007
Last updated
02/19/2008
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