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NPI Code Detail

MEDICARE: ANNA KATHALENE LEBEOUF PNP

MEDICARE:   ANNA KATHALENE LEBEOUF  PNP
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
1363LP0200XPediatric Nurse Practitioner583273TX

General Provider Information

NPI Number : 1952638983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KATHALENE LEBEOUF PNP
Provider Business Mailing Address
First Line : 3220 CENTRAL MALL DR
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77642-8037
Country : US
Telephone Number : 409-729-7900
Fax Number : 409-727-5277
Provider Business Practice Location Address
First Line : 3220 CENTRAL MALL DR
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77642-8037
Country : US
Telephone Number : 409-729-7900
Fax Number : 409-727-5277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 06/30/2011

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Directions to “ ANNA KATHALENE LEBEOUF PNP” Practice Location

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