Provider Demographics
NPI:1326011149
Name:LUBAS, JANET (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:LUBAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 ALCOA HWY STE 127
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1522
Mailing Address - Country:US
Mailing Address - Phone:865-305-8787
Mailing Address - Fax:865-305-8260
Practice Address - Street 1:1928 ALCOA HWY STE 127
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1522
Practice Address - Country:US
Practice Address - Phone:865-305-8787
Practice Address - Fax:865-305-8260
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN025616207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN025616OtherLICENSE
TN3082623Medicaid
TN3082623Medicaid
TN30826232Medicare PIN
TNTN025616OtherLICENSE