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John P. Lubisich, M.D.

Radiology, Diagnostic Radiology in San Diego, CA. Individual provider (NPI-1).

NPI number1194863902
StatusActive
Last updated in NPPESApr 12, 2021

Details

NPI
1194863902
Entity type
Individual (NPI-1)
Name
John P. Lubisich
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 2, 2007
Certification date
Apr 12, 2021
Last updated
Apr 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology2000161496MOYes

Practice location

150 W Washington St
San Diego, CA 92103-2005

Phone 866-558-4320 · Fax 619-294-8399

Mailing address

150 W Washington St
San Diego, CA 92103-2005

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