Individual
ELIZABETH J. LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8998
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8998
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0012040
—
CA
01
—
F105
CHAMPUS
—
Enumeration date
08/25/2006
Last updated
12/21/2016
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