Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00035509 | WA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD20132 | OR |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | TP608 | KY |
NPI | 1134239338 |
---|---|
Provider Name | Suzanne Lynne Lubarsky |
First Address | Portland, OR 97225-6603 |
Second Address | Portland, OR 97225-6603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 23/10/2020 |