Individual
ALEXANDER LEBEDOVYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 E MICHIGAN AVE, JACKSON, MI 49202-3700
(517) 784-6729
(517) 784-7546
Mailing address
PO BOX 6159, JACKSON, MI 49204-6159
(517) 784-6729
(517) 784-7546
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AL030589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL030589
MD LICENSE
MI
Enumeration date
09/02/2006
Last updated
10/14/2014
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