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NPI Code Detail

MEDICARE: MISS JODI LEBRUN SLP

MEDICARE:  MISS JODI  LEBRUN  SLP
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1285917229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JODI LEBRUN SLP
Provider Business Mailing Address
First Line : 995 HUMBOLDT ST APT 307
Second Line :
City : DENVER
State : CO
Zip : 80218-3553
Country : US
Telephone Number : 406-860-4088
Fax Number :
Provider Business Practice Location Address
First Line : 995 HUMBOLDT ST APT 307
Second Line :
City : DENVER
State : CO
Zip : 80218-3553
Country : US
Telephone Number : 406-860-4088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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Directions to “ MISS JODI LEBRUN SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.