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Individual

WILLIAM LEBOEUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 COMMUNITY DR STE 208, TOBYHANNA, PA 18466-8987
(610) 799-7871
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-8600

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD051382L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001563110-0017
PA
Enumeration date
11/23/2005
Last updated
07/21/2022
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