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NPI Code Detail

MEDICARE: LISA LEBON LCSW LLC

MEDICARE: LISA LEBON LCSW LLC
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
1251S00000XCommunity/Behavioral Health Agency

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 : 1366180747
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISA LEBON LCSW LLC
Provider Business Mailing Address
First Line : 125 STAFFORD PL
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-2109
Country : US
Telephone Number : 225-314-3643
Fax Number : 844-273-2191
Provider Business Practice Location Address
First Line : 654 BROCKENBRAUGH CT
Second Line :
City : METAIRIE
State : LA
Zip : 70005-2712
Country : US
Telephone Number : 225-314-3643
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LISA LEBON
Credential : LCSW
Telephone Number : 225-314-3643
Provider Enumeration Date : 05/25/2022
Last Update Date : 05/18/2026

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