Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | S4652 | TX |
Y | 208600000X | Surgeon | S4652 | TX |
NPI | 1013320498 |
---|---|
Provider Name | Dr. Genna Lubrano |
First Address | Sugar Land, TX 77479-5320 |
Second Address | Richmond, TX 77469-7002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 07/12/2020 |