Edmund Joseph Lebauer M.D.

NPI 1043274491 - Internal Medicine - 207R00000X

NPI Details
NPI 1043274491
Gender Male
Enumeration Date 04/13/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1126 N CHURCH ST
SUITE 300
GREENSBORO NC, 27401-1000, US
Phone (336) 547-1700
Fax
Business Location
PO BOX 890195
CHARLOTTE NC, 28289-0195, US
Phone (336) 547-1700
Fax
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 11887
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According to our database, Dr. Edmund Joseph Lebauer M.D. NPI is 1043274491, taxonomy code is 207R00000X and license number is 11887, license state is located at North Carolina. Edmund Joseph Lebauer M.D. physically located at 1126 N Church St, Greensboro NC, 27401-1000. NPI Number Edmund Joseph Lebauer M.D. has the Individual type.

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1043274491 NPI number is provided on an as is basis without warranty of any kind. 1043274491 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund Joseph Lebauer M.D. are for informational purposes only.