MEDICARE: DR. GENNA LUBRANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208600000X	Surgery Physician	S4652	TX

General Provider Information

NPI Number	:	1013320498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENNA LUBRANO

Provider Business Mailing Address
First Line	:	4911 SANDHILL DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5320
Country	:	US
Telephone Number	:	281-238-7870
Fax Number	:	281-633-4985

Provider Business Practice Location Address
First Line	:	22001 SOUTHWEST FWY STE 100
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7002
Country	:	US
Telephone Number	:	281-238-7870
Fax Number	:	281-633-4985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	12/07/2020

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Directions to “ DR. GENNA LUBRANO ” Practice Location

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