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NPI Code Detail

MEDICARE: MS. LINDA ANN LEBEAU CCC-SLP

MEDICARE:  MS. LINDA ANN LEBEAU  CCC-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 Pathologist588NM

Other Identifiers

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

General Provider Information

NPI Number : 1326101072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ANN LEBEAU CCC-SLP
Provider Business Mailing Address
First Line : 421 MCARTHUR DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-5961
Country : US
Telephone Number : 505-463-2790
Fax Number : 505-645-7065
Provider Business Practice Location Address
First Line : 421 MCARTHUR DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-5961
Country : US
Telephone Number : 505-463-2790
Fax Number : 505-645-7065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2006
Last Update Date : 07/09/2007

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Directions to “ MS. LINDA ANN LEBEAU CCC-SLP” Practice Location

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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.