Laura M Lebeau in Cicero - Podiatrist

Laura M Lebeau - NPI 1962454017

Laura M Lebeau is a Podiatrist in Cicero, Illinois. Laura M Lebeau practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Laura M Lebeau is 1962454017. The last update date is 2014-06-23.

Laura M Lebeau's current location address is 2124 S Austin Blvd, Cicero, Illinois. You can contact this provider via phone number 7088635376 and fax number 7088635375. The mailing address for Laura M Lebeau is 2124 S Austin Blvd, Cicero, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura M Lebeau
Address 2124 S Austin Blvd, Cicero, Illinois
Phone Number 7088635376
Fax Number 7088635375
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1962454017
Provider Enumeration Date 2006-05-17
Last Updated Date 2014-06-23

Provider Mailing Address Detail

Address 2124 S Austin Blvd
City Cicero
State Illinois (IL)
Post Code 608042012
Phone Number 7088635376
Fax Number 7088635375

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 16004478
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16004478 IL --
60000161 BLUE CROSS BLUE SHIELD
732240001 DEMERC # WITH PPG

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FAQs about Laura M Lebeau

What is the unique identifier code issued to Laura M Lebeau by the Centers for Medicare & Medicaid Services?

The Laura M Lebeau has been assigned the NPI (National Provider Identifier) 1962454017. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Laura M Lebeau's facilities are situated?

The facilities of Laura M Lebeau are physically located at the following address: 2124 S Austin Blvd, Cicero, IL, 608042012.

What is the area of specialization for Laura M Lebeau, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Laura M Lebeau is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962454017 to Laura M Lebeau?

The Centers for Medicare & Medicaid Services assigned the 1962454017 to Laura M Lebeau on 2006-05-17.

As of what date were the Laura M Lebeau's details last updated?

The information pertaining to the Laura M Lebeau, including its address, specialty, and other details, was most recently updated on 2014-06-23.

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