Organization Active NPI

Lubmanmd,LLC

  • Medical Specialty Clinic/Center
  • Towson, MD
National Provider Identifier
1366678401
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0064406 Issued in MD
Legal business name
LUBMANMD,LLC
Practice address
7401 Osler Dr Ste 212
Towson, MD 21204-7622
Phone
(443) 901-2040
Fax
(443) 901-2043
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yelena Lubman, MD
Title
Owner
Phone
(443) 901-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0064406 MD Primary

Addresses

Primary practice location

7401 Osler Dr Ste 212
Towson, MD 21204-7622

Mailing address

7401 Osler Dr Ste 212
Towson, MD 21204-7622
Phone (443) 901-2040

Other identifiers 1

IdentifierTypeStateIssuer
DOO64406OtherMDMEDICAL LISENCE

National Provider Directory

National Provider Directory

Locations

23 Crossroads Dr
Ste 215
Owings Mills, MD 21117
Phone (410) 363-9400

7401 Osler Dr
Ste 212
Towson, MD 21204
Phone (410) 828-5323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1366678401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR STE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047622",
            "telephone_number": "443-901-2040",
            "fax_number": "443-901-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR STE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047622",
            "telephone_number": "443-901-2040",
            "fax_number": "443-901-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBMANMD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "LUBMAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-901-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0064406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISENCE",
            "identifier": "DOO64406",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.