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NPI Code Detail

MEDICARE: STANTON S. LEBOUITZ, M.D., P.C.

MEDICARE: STANTON S. LEBOUITZ, M.D., P.C.
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
1174400000XSpecialistMD011092EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2305100OTHERPACAPITAL BLUE CROSS
362987OTHERPAHIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1750406922
Entity Type Code : Organization
Provider Name (Legal Business Name) : STANTON S. LEBOUITZ, M.D., P.C.
Provider Business Mailing Address
First Line : 1936 POWDER MILL RD
Second Line :
City : YORK
State : PA
Zip : 17402-4725
Country : US
Telephone Number : 717-741-0811
Fax Number : 717-741-9499
Provider Business Practice Location Address
First Line : 1936 POWDER MILL RD
Second Line :
City : YORK
State : PA
Zip : 17402-4725
Country : US
Telephone Number : 717-741-0811
Fax Number : 717-741-9499
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. PEGGY ANN MCWILLIAMS
Credential :
Telephone Number : 717-741-0771
Provider Enumeration Date : 03/20/2007
Last Update Date : 01/26/2011

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Directions to “STANTON S. LEBOUITZ, M.D., P.C. ” Practice Location

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