Individual
POLLY LEBUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 MEDICAL CENTER DRIVE, SUITE 201, PADUCAH, KY 42003
(270) 441-4200
(270) 441-4249
Mailing address
2200 JEFFERSON AVE, 5TH FLOOR MERCY PHO/CVO, TOLEDO, OH 43604-7101
(419) 251-9830
(419) 251-1826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33449
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184903
—
KY
Enumeration date
11/07/2006
Last updated
05/11/2017
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