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Individual

DR. SAMUEL MORGENSTERN LEBAUER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1700
Mailing address
PO BOX 890195, CHARLOTTE, NC 28289-0195
(336) 547-1700

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19254
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26889
MEDCOST
NC
01
4097824
AETNA
NC
01
51350
BCBS NC
NC
01
617
PARTNERS MEDICARE
NC
05
8951350
NC
Enumeration date
04/14/2006
Last updated
07/09/2007
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