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NPI Code Detail

MEDICARE: MR. ROBERT A LEBBY MD

MEDICARE:  MR. ROBERT A LEBBY  MD
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
1207RP1001XPulmonary Disease PhysicianG69980CA
2207RS0012XSleep Medicine (Internal Medicine) PhysicianG69980CA

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 : 1457344129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT A LEBBY MD
Provider Business Mailing Address
First Line : 1216 BERMUDA DR
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-1904
Country : US
Telephone Number : 949-338-4799
Fax Number : 949-497-2467
Provider Business Practice Location Address
First Line : 11 MAREBLU STE 200
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-3044
Country : US
Telephone Number : 949-446-8990
Fax Number : 949-446-8535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 08/24/2020

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