MEDICARE: ALAN LUBIN MD

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	207RH0003X	Hematology & Oncology Physician	3502667	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265439442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN LUBIN MD

Provider Business Mailing Address
First Line	:	PO BOX 24908
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-0908
Country	:	US
Telephone Number	:	440-442-4260
Fax Number	:	440-442-0249

Provider Business Practice Location Address
First Line	:	730 SOM CENTER RD
Second Line	:	SUITE # 305
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44143-2350
Country	:	US
Telephone Number	:	440-442-4260
Fax Number	:	440-442-0249

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

Provider Enumeration Date	:	07/04/2005
Last Update Date	:	11/21/2007

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Directions to “ ALAN LUBIN MD” Practice Location

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