Individual
GABRIELLE ANN LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST STE 227, HARTFORD, CT 06106-5501
(860) 545-1888
Mailing address
31 ELM ST, EAST WINDSOR, CT 06088-1200
(860) 816-5963
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6246
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/05/2023
Last updated
09/08/2023
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