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NPI Code Detail

MEDICARE: DR. LAWRENCE B RUBIN D.P.M.

MEDICARE: DR. LAWRENCE B RUBIN D.P.M.
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
1213ES0131XFoot Surgery Podiatrist5901000839MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881696953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE B RUBIN D.P.M.
Provider Business Mailing Address
First Line : 18530 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48223-2319
Country : US
Telephone Number : 313-273-9400
Fax Number : 313-273-5612
Provider Business Practice Location Address
First Line : 18530 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48223-2319
Country : US
Telephone Number : 313-273-9400
Fax Number : 313-273-5612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 05/21/2008

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