Individual
JUAN FRANCISCO LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 CHARRING CROSS DR, SUITE 101, WESTERVILLE, OH 43081-4901
(614) 895-0679
(614) 895-0781
Mailing address
6591 W CENTRAL AVE, SUITE 202, TOLEDO, OH 43617-1087
(419) 517-6599
(419) 517-0503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35077857
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35077857
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209511
ANTHEM
OH
05
—
2188181
—
OH
01
—
341196311
TAX IDENTIFICATION NUMBER
—
01
—
LE4017904
PTAN
—
Enumeration date
03/08/2006
Last updated
04/05/2017
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