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Individual

DR. EUGENE SHANER LEBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3201 BRASSFIELD RD, SUITE 400, GREENSBORO, NC 27410-9682
(336) 282-2300
(336) 282-0034
Mailing address
3201 BRASSFIELD RD, SUITE 400, GREENSBORO, NC 27410-9682
(336) 282-2300
(336) 282-0034

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
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