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Individual

DR. THOMAS E LEBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
771 E BAYOU PINES DR, LAKE CHARLES, LA 70601-7183
(337) 433-1212
(337) 433-0736
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04307R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1185833
LA
Enumeration date
04/26/2006
Last updated
01/30/2017
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