Provider Demographics
NPI:1447702352
Name:ATKINS-LUBINSKI, CHERYL JILL
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:JILL
Last Name:ATKINS-LUBINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4103
Mailing Address - Country:US
Mailing Address - Phone:484-580-8873
Mailing Address - Fax:484-971-0383
Practice Address - Street 1:154 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-4103
Practice Address - Country:US
Practice Address - Phone:484-580-8873
Practice Address - Fax:484-971-0383
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1201XEye and Vision Services ProvidersTechnician/TechnologistOptometric Assistant