Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 51771 | WI |
N | 207RX0202X | Medical Oncology | 51771 | WI |
NPI | 1003838145 |
---|---|
Provider Name | Dr. Sam Joseph Lubner |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 30/12/2020 |