| Doctor Name: | MR. WILLIAM JOSEPH LUBIN |
| NPI Number: | 1043594575 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0110-003568 |
| Business Practice Address: | 4437 Brookfield Corporate Dr Chantilly, VA - 201512122 |
| Business Phone Number: | 7039687277 |
| Business Fax Number: | |
| Mailing Address: | 43333 Sugarbush Ct, LEESBURG |
| State: | VA |
| Postal Code: | 201763901 |
| Phone Number: | 7037376341 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2011 |
| NPI Last Update Date: | 10/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110-003568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |