Individual
DR. EUGENE LYUBASHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8865 W 400 N STE 155, MICHIGAN CITY, IN 46360-9010
(219) 872-6555
(219) 872-2712
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01061235A
IN
207RG0100X
Gastroenterology Physician
036-095114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-095114
—
IL
05
—
100209820
—
IN
Enumeration date
01/27/2006
Last updated
10/11/2023
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