Provider Demographics
NPI:1225228810
Name:JOEL N. LUBRITZ MD CHARTERED
Entity Type:Organization
Organization Name:JOEL N. LUBRITZ MD CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:LUBRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-732-4491
Mailing Address - Street 1:3101 S MARYLAND PKWY
Mailing Address - Street 2:102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2323
Mailing Address - Country:US
Mailing Address - Phone:702-732-4491
Mailing Address - Fax:702-732-3966
Practice Address - Street 1:3101 S MARYLAND PKWY
Practice Address - Street 2:102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2323
Practice Address - Country:US
Practice Address - Phone:702-732-4491
Practice Address - Fax:702-732-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2598207Y00000X
NV8547207Y00000X, 207YX0901X
NV10450207Y00000X
NV7859207YX0905X
NV289237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Multi-Specialty
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty