Individual
DR. LUIS LEBREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2730 PIERCE ST, SUITE 402, SIOUX CITY, IA 51104-3796
(712) 234-8725
(712) 234-8728
Mailing address
2730 PIERCE ST, SUITE 402, SIOUX CITY, IA 51104-3796
(712) 234-8725
(712) 234-8728
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28161
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025458000
—
NE
05
—
2072538
—
IA
01
—
28659
WELLMARK BCBS IOWA
IA
05
—
7798853
—
SD
01
—
P00388040
MEDICARE RAILROAD
IA
Enumeration date
04/11/2006
Last updated
07/27/2015
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