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LUBSEY MEDICAL CLINIC INC NPI 1316336795


NPI Information

NPI: 1316336795
Provider Name: LUBSEY MEDICAL CLINIC INC

Doing Business As: LUBSEY MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 52D0715260

Address:
5300 W VILLARD AVE
MILWAUKEE, WI
ZIP 53218
Phone: (414) 438-6666
Get Directions

LUBSEY MEDICAL CLINIC INC is an internal medicine in Milwaukee, WI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LUBSEY MEDICAL CLINIC INC NPI is 1316336795. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lubsey Medical Center.

The provider's business location address is:

5300 W VILLARD AVE
MILWAUKEE, WI
ZIP 53218-345
Phone: (414) 438-6666
Fax: (414) 438-6667

The provider's authorized official is Khalil H Odeh .
The authorized official title is Owner and has the following contact phone number (414) 438-6666.

The CLIA number assigned to this NPI record is 52D0715260 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 5/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist24166WISCONSINNo
2174400000XSpecialist61393WISCONSINNo
3363L00000XNurse PractitionerNo
4207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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