Provider Demographics
NPI:1003239385
Name:LUBOMIRSKY, LILIA (LAC, MSC)
Entity Type:Individual
Prefix:MRS
First Name:LILIA
Middle Name:
Last Name:LUBOMIRSKY
Suffix:
Gender:F
Credentials:LAC, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S DE ANZA BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-2778
Mailing Address - Country:US
Mailing Address - Phone:408-454-8432
Mailing Address - Fax:
Practice Address - Street 1:1002 S DE ANZA BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-2778
Practice Address - Country:US
Practice Address - Phone:140-845-4843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15846171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist