Provider Demographics
NPI:1154398675
Name:FLEMING, CARLOS LUBIN (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:LUBIN
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:275 S ASPEN ST BLDG 600
Mailing Address - Street 2:
Mailing Address - City:BUCKLEY AFB
Mailing Address - State:CO
Mailing Address - Zip Code:80011-9562
Mailing Address - Country:US
Mailing Address - Phone:720-847-9355
Mailing Address - Fax:720-847-7480
Practice Address - Street 1:275 S ASPEN ST BLDG 600
Practice Address - Street 2:
Practice Address - City:BUCKLEY AFB
Practice Address - State:CO
Practice Address - Zip Code:80011-9562
Practice Address - Country:US
Practice Address - Phone:720-847-9355
Practice Address - Fax:720-847-7480
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine