Individual
MELISSA LEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 E CHESTNUT ST UNIT 510, LOUISVILLE, KY 40202-5710
(502) 588-4800
(502) 588-4801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011453
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009686
—
IN
05
—
7100513330
—
KY
Enumeration date
10/20/2017
Last updated
03/14/2019
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