Individual
DR. DANETTE LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3035 GERMAN ST, FAIRFIELD, CA 94534-8314
(707) 628-2735
Mailing address
3035 GERMAN ST, FAIRFIELD, CA 94534-8314
(707) 628-2735
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01054988A
IN
208000000X
Pediatrics Physician
C53286
CA
Other
Enumeration date
11/09/2005
Last updated
12/15/2021
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