Individual
GLENN D. LUBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4000
Mailing address
PO BOX 1350, SUITE 5, MOORESVILLE, NC 28115-1350
(707) 799-3380
(704) 799-6315
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
NC
208M00000X
Hospitalist Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134Y1
—
NC
Enumeration date
02/20/2006
Last updated
07/11/2007
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