Provider Demographics
NPI:1700692837
Name:LUBNOW, ZOE JAMES
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:JAMES
Last Name:LUBNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZOE
Other - Middle Name:
Other - Last Name:STOHL-LUBNOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9000 RATHBURN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2747
Mailing Address - Country:US
Mailing Address - Phone:818-743-6202
Mailing Address - Fax:
Practice Address - Street 1:9000 RATHBURN AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-2747
Practice Address - Country:US
Practice Address - Phone:818-743-6202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT-02380604246RP1900X
CAE175076146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy