Organization
LEBEAU CLINIC PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUE P. LEBEAU M.D. (FACIAL PLASTIC SURGEON/OWNER)
(850) 308-1738
Entity
Organization
Contact information
Practice address
1020 N PALAFOX ST, PENSACOLA, FL 32501-3118
(850) 308-1738
(850) 308-5420
Mailing address
1020 N PALAFOX ST, PENSACOLA, FL 32501-3118
(850) 308-1738
(850) 308-5420
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME105524
FL
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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