Organization
LISA G RUBIN, MD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RUBIN (PRESIDENT)
(410) 491-2747
Entity
Organization
Contact information
Practice address
1122 KENILWORTH DR STE 401, TOWSON, MD 21204-2147
(410) 296-2557
Mailing address
1122 KENILWORTH DR STE 401, TOWSON, MD 21204-2147
(410) 296-2557
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0035520
MD
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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