# BRYAN A. LEBEAN,SR,MD,APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093848657
- **Authorized official:** DR. BRYAN A LEBEAN SR. M.D. (OWNER)
- **Authorized official phone:** (337) 261-0559

## Contact information

- **Practice address:** 2930 MOSS ST, SUITE B, LAFAYETTE, LA 70501-1274
- **Practice address phone:** (337) 261-0559
- **Practice address fax:** (337) 261-0076
- **Mailing address:** 2930 MOSS ST, SUITE B, LAFAYETTE, LA 70501-1274
- **Mailing address phone:** (337) 261-0559
- **Mailing address fax:** (337) 261-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | L022124 | LA | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 10/29/2021