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Individual

DR. ROBERT F. LEBOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
907 E MICHIGAN ST, INDIANAPOLIS, IN 46202-3625
(317) 262-0950
(317) 267-0244
Mailing address
907 E MICHIGAN ST, INDIANAPOLIS, IN 46202-3625
(317) 262-0950
(317) 267-0244

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01026950A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087200
ANTHEM BLUE CROSS BLUE SH
IN
05
100226720
IN
Enumeration date
05/19/2006
Last updated
12/22/2019
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