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Individual

MR. ANTHONY PAUL LEBAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4400 AMBASSADOR CAFFERY PKWY, BOX 578, LAFAYETTE, LA 70508-6760
(337) 991-0102
(337) 991-0032
Mailing address
701 ROBLEY DR, SUITE 135, LAFAYETTE, LA 70503-5200
(337) 991-0102
(337) 991-0032

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02694
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02694
PHYSICAL THERAPY LICENSE
LA
Enumeration date
03/09/2006
Last updated
07/08/2007
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