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NPI Code Detail

MEDICARE: LEBRA WINIGER PT, CHT, MHS

MEDICARE: LEBRA WINIGER PT, CHT, MHS
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
1225100000XPhysical Therapist05002358AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000280218OTHERINBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538143284
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEBRA WINIGER PT, CHT, MHS
Provider Business Mailing Address
First Line : 1150 LINCOLN AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-1071
Country : US
Telephone Number : 812-402-4263
Fax Number : 812-437-4263
Provider Business Practice Location Address
First Line : 1150 LINCOLN AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-1071
Country : US
Telephone Number : 812-402-4263
Fax Number : 812-437-4263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 06/08/2011

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