Individual
LEBRON DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2450
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(888) 447-2362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8173
AZ
Other
Enumeration date
04/10/2020
Last updated
08/25/2021
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