Provider Demographics
NPI:1700850963
Name:LUBIMIR, CHRISTINE Q (CRNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:Q
Last Name:LUBIMIR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-621-1566
Mailing Address - Fax:412-621-8557
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-621-1566
Practice Address - Fax:412-621-8557
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003450B207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00121586Medicare PIN
PAS49414Medicare UPIN
PA004971R7RMedicare PIN