Provider Demographics
NPI:1205686987
Name:LUBIN, LEONEL
Entity type:Individual
Prefix:
First Name:LEONEL
Middle Name:
Last Name:LUBIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19600 NW 5TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3244
Mailing Address - Country:US
Mailing Address - Phone:786-218-4745
Mailing Address - Fax:
Practice Address - Street 1:19600 NW 5TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-3244
Practice Address - Country:US
Practice Address - Phone:786-218-4745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist