Individual
JENNIFER ELAINE LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 270-4932
(414) 291-5195
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
(414) 326-2218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-00818
NC
207R00000X
Internal Medicine Physician
Primary
62980
WI
207R00000X
Internal Medicine Physician
OS014555
PA
Other
Enumeration date
05/26/2006
Last updated
02/07/2024
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