Provider Demographics
NPI:1841247590
Name:KAPLUN, LUBOV L (MD)
Entity type:Individual
Prefix:
First Name:LUBOV
Middle Name:L
Last Name:KAPLUN
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 1:1763 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-4040
Mailing Address - Country:US
Mailing Address - Phone:617-562-0470
Mailing Address - Fax:617-562-0573
Practice Address - Street 1:1763 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-4040
Practice Address - Country:US
Practice Address - Phone:617-562-0470
Practice Address - Fax:617-562-0573
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA51385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ05792Medicare PIN