Provider Demographics
NPI:1982601555
Name:LUBOWITZ, JAMES H (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:LUBOWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1219 GUSDORF RD
Mailing Address - Street 2:STE A
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6499
Mailing Address - Country:US
Mailing Address - Phone:575-758-0009
Mailing Address - Fax:575-758-8736
Practice Address - Street 1:1219 GUSDORF RD
Practice Address - Street 2:STE A
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6499
Practice Address - Country:US
Practice Address - Phone:575-758-0009
Practice Address - Fax:575-758-8736
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM94-311207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM21893Medicaid
NM21893Medicaid