MEDICARE: DR. LEAH R LUBIN LIC. AP

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	171100000X	Acupuncturist	AP2358	FL

General Provider Information

NPI Number	:	1730387218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH R LUBIN LIC. AP

Provider Business Mailing Address
First Line	:	13314 THOMASVILLE CIR APT C
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-9545
Country	:	US
Telephone Number	:	813-245-5649
Fax Number	:

Provider Business Practice Location Address
First Line	:	3016 LAND O LAKES BLVD
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-4918
Country	:	US
Telephone Number	:	813-909-7376
Fax Number	:	813-949-8481

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

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	07/08/2007

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