Individual
LAWRENCE R. RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4825 MARK CENTER DR STE 150, ALEXANDRIA, VA 22311-1846
(703) 751-8111
(703) 751-1105
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101229829
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031744100
—
DC
01
—
060062924
RAILROAD MEDICARE DC #
DC
01
—
060068851
RAILROAD MEDICARE VA #
VA
05
—
1841292091
—
VA
05
—
699258700
—
MD
Enumeration date
06/01/2005
Last updated
08/25/2022
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