Individual
MARK ANDREW LEBEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
207 HART ST, TAUNTON, MA 02780-3715
(774) 961-9062
Mailing address
99 CLAYTON ST, ATTLEBORO, MA 02703-7011
(609) 658-1558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2119
MA
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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