MEDICARE: KAREN LEBEAUX

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	104100000X	Social Worker	13503	LA
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1093161929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LEBEAUX

Provider Business Mailing Address
First Line	:	3443 ESPLANADE AVE APT 652
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-2972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 LAKE FOREST BLVD STE 600
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-6206
Country	:	US
Telephone Number	:	504-323-3440
Fax Number	:

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

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	04/24/2019

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Directions to “ KAREN LEBEAUX ” Practice Location

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