Provider Demographics
NPI:1801083456
Name:LUBIN, MARSHALL B (DC)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:B
Last Name:LUBIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 KILDEER CT
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1278
Mailing Address - Country:US
Mailing Address - Phone:760-632-8804
Mailing Address - Fax:760-632-8804
Practice Address - Street 1:1159 KILDEER CT
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1278
Practice Address - Country:US
Practice Address - Phone:760-632-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 16707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor