Individual
MRS. DONNA LYNN LEBARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1041 BROOKSIDE RD, STOCKTON, CA 95211-0001
(209) 946-2315
(209) 945-3001
Mailing address
1150 MCCLELLAN WAY, STOCKTON, CA 95207-3649
(209) 952-7626
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16949
CA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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