Provider Demographics
NPI:1699043687
Name:OLENINA, LYUBOV (MD)
Entity Type:Individual
Prefix:DR
First Name:LYUBOV
Middle Name:
Last Name:OLENINA
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 1:9305 PINECROFT DR STE 302
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3482
Mailing Address - Country:US
Mailing Address - Phone:713-897-2836
Mailing Address - Fax:713-897-2093
Practice Address - Street 1:9305 PINECROFT DR STE 302
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3482
Practice Address - Country:US
Practice Address - Phone:713-897-2836
Practice Address - Fax:713-897-2093
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.205427207R00000X
FLTRN13365207R00000X
FLME112606207R00000X
LA205427207RE0101X
TXU0511207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine