Provider Demographics
NPI:1598738346
Name:LUBRITZ, JOEL N (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:N
Last Name:LUBRITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 S MARYLAND PKWY
Mailing Address - Street 2:STE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109
Mailing Address - Country:US
Mailing Address - Phone:702-732-4491
Mailing Address - Fax:702-732-1036
Practice Address - Street 1:3101 S MARYLAND PKWY
Practice Address - Street 2:STE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109
Practice Address - Country:US
Practice Address - Phone:702-732-4491
Practice Address - Fax:702-732-1036
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV2598207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002303Medicaid
NV002002303Medicaid
C96285Medicare UPIN