Healthcare Provider Details

I. General information

NPI: 1396752481
Provider Name (Legal Business Name): LEWIS RUBINSON MD,PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 OSLER DR
TOWSON MD
21204-7700
US

IV. Provider business mailing address

641 W UNIVERSITY PKWY
BALTIMORE MD
21210-2907
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-1379
  • Fax:
Mailing address:
  • Phone: 206-604-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD56127
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD56127
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: