Individual
DR. ANICE M. LEBEOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
211 W MARKET ST, LOCKHART, TX 78644-2647
(512) 913-3993
Mailing address
604 DALE LN, DALE, TX 78616-2843
(512) 913-3993
(512) 467-1101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321889302
—
TX
01
—
8X2071
BCBS INDIVIDUAL ID
TX
Enumeration date
08/30/2006
Last updated
07/28/2016
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