Individual
JEFFREY MARK LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2588
(860) 679-4015
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2588
(860) 679-4015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5287
CT
363AS0400X
Surgical Physician Assistant
23.005287
CT
Other
Enumeration date
04/27/2021
Last updated
10/13/2022
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