Individual
DR. EUGENE SHANER LEBAUER
Active
Individual
DR. EUGENE SHANER LEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
14712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207779
UNITED HEALTHCARE
—
01
—
32679
WELLPATH
—
01
—
51330
NC BLUE CROSS BLUE SHIELD
NC
01
—
82551
MEDCOST
—
05
—
8951330
—
NC
Enumeration date
01/08/2007
Last updated
11/09/2007
Update your record
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