MEDICARE: DR. STUART JOHN LEBAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	021347	LA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	021347	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073518510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART JOHN LEBAS M.D.

Provider Business Mailing Address
First Line	:	100 WOMANS WAY STE 513
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-5100
Country	:	US
Telephone Number	:	225-924-8550
Fax Number	:	225-924-8647

Provider Business Practice Location Address
First Line	:	500 RUE DE LA VIE ST STE 513
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-5129
Country	:	US
Telephone Number	:	225-924-8550
Fax Number	:	225-924-8647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/19/2020

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Directions to “ DR. STUART JOHN LEBAS M.D.” Practice Location

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