Individual
DR. JAMES A. PORUBIANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
770 NORMAN DR, LEBANON, PA 17042-7495
(717) 272-2161
Mailing address
12 PARKSIDE DR, LEBANON, PA 17042-4014
(717) 270-9927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE005283T
PA
152WC0802X
Corneal and Contact Management Optometrist
OE005283T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01725020
—
PA
Enumeration date
12/05/2006
Last updated
07/07/2009
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