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Organization
TLC FAMILY PRACTICE
Active
Organization
TLC FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE R LEBEAU DO (MEMBER PHYSICIAN)
(480) 632-7400
Entity
Organization
Contact information
Practice address
428 S GILBERT RD, SUITE 101, GILBERT, AZ 85296-2263
(480) 632-7400
(480) 632-8400
Mailing address
428 S GILBERT RD, SUITE 101, GILBERT, AZ 85296-2263
(480) 632-7400
(480) 632-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1862
AZ
207Q00000X
Family Medicine Physician
Primary
2822
AZ
Other
Enumeration date
12/06/2005
Last updated
08/22/2020
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