MEDICARE: LEM4, LTD

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	PP410773L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2081008	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467457366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEM4, LTD

Provider Business Mailing Address
First Line	:	PO BOX 346
Second Line	:
City	:	BEDFORD
State	:	PA
Zip	:	15522-0346
Country	:	US
Telephone Number	:	814-623-5512
Fax Number	:	814-623-0606

Provider Business Practice Location Address
First Line	:	654 EAST PITT ST
Second Line	:
City	:	BEDFORD
State	:	PA
Zip	:	15522
Country	:	US
Telephone Number	:	814-623-5512
Fax Number	:	814-623-0606

Authorized Official
Title or Position	:	OWNER/PIC
Name	:	DR. JENNIFER ANN LEIBFREID
Credential	:	PHARM D
Telephone Number	:	814-623-5512

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/28/2025

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