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Individual

JEFFREY J LEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1173
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080014243
RAILROAD MEDICARE
ME
01
1659181
CIGNA
ME
01
200244
ANTHEM
ME
05
253840099
ME
01
5983701
AETNA
ME
01
AA107652
HARVARD PILGRIM
ME
Enumeration date
07/21/2006
Last updated
10/25/2011
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