Individual
JYOTI S. LEBONHEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1840 S. STAPLEY DRIVE, SUITE 101, MESA, AZ 85204
(480) 464-8500
Mailing address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 371-2515
(602) 371-2002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26204
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472473
—
AZ
Enumeration date
02/27/2008
Last updated
02/27/2008
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