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Individual

LEBRA WINIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CHT, MHS

Contact information

Practice address
1150 LINCOLN AVE, EVANSVILLE, IN 47714-1071
(812) 402-4263
(812) 437-4263
Mailing address
1150 LINCOLN AVE, EVANSVILLE, IN 47714-1071
(812) 402-4263
(812) 437-4263

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002358A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000280218
BLUE CROSS BLUE SHIELD
IN
05
200818570
IN
Enumeration date
12/05/2005
Last updated
06/08/2011
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