Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 274724 | MA |
NPI | 1003229279 |
---|---|
Provider Name | Dr. Michael Christopher Lubrano |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 15/08/2018 |