Individual
DR. LAURENCE G. RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7016 LEE PARK RD, SUITE 105, MECHANICSVILLE, VA 23111-3682
(804) 746-5488
(804) 730-1223
Mailing address
7016 LEE PARK RD STE 105, MECHANICSVILLE, VA 23111-3620
(804) 746-5488
(804) 730-1223
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000849
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480000600
RR PROVIDER #
VA
05
—
9332308
—
VA
Enumeration date
03/27/2006
Last updated
08/06/2023
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