Individual
ALICE R LEBER
Active
Individual
ALICE R LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
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
Update your record
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