Individual
DR. JACK LEBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
72840 HIGHWAY 111, STE. F197, PALM DESERT, CA 92260-3324
(760) 776-9767
(760) 776-9333
Mailing address
72840 HIGHWAY 111, STE. F197, PALM DESERT, CA 92260-3324
(760) 776-9767
(760) 776-9333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4181
CA
Other
Enumeration date
01/21/2006
Last updated
07/27/2010
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