Doctor Name: | DR. HENRY WAYNE LUBOW |
NPI Number: | 1295938033 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | G27659 |
Business Practice Address: | 23480 Park Sorrento Suite 100-b Calabasas, CA - 913021352 |
Business Phone Number: | 8182229304 |
Business Fax Number: | 8182229310 |
Mailing Address: | 23480 Park Sorrento, Suite 100-b CALABASAS |
State: | CA |
Postal Code: | 913021352 |
Phone Number: | 8182229304 |
Fax Number: | 8182229310 |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G27659 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |