Individual
ALICE R LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
900 MAIN ST S, SOUTHBURY, CT 06488-4237
(203) 262-1911
(203) 262-9434
Mailing address
405 CHESTNUT TREE HILL RD, OXFORD, CT 06478-1173
(203) 881-0501
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
VP005288B
PA
363LF0000X
Family Nurse Practitioner
Primary
003710
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500018096
RR MEDICARE #
PA
Enumeration date
05/01/2007
Last updated
01/12/2009
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