Individual
BRYAN SCOTT LEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP, FNP
Contact information
Practice address
9425 N NEVADA ST STE 300, SPOKANE, WA 99218-1286
(509) 270-0065
Mailing address
9425 N NEVADA ST STE 300, SPOKANE, WA 99218-1286
(509) 270-0065
(509) 319-2520
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LF0000X
Family Nurse Practitioner
Primary
AP61091392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP61091392
—
WA
Enumeration date
08/18/2020
Last updated
08/18/2020
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