Individual
DR. LORI CHARLOTTE LEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(770) 535-1852
Mailing address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(770) 535-1852
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000040503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003101473A
—
GA
Enumeration date
08/29/2006
Last updated
10/21/2021
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