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Individual

CHRISTOPHER T LEBRUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 BROCKTON AVE STE 306, RIVERSIDE, CA 92501-4027
(951) 977-2460
(951) 977-2444
Mailing address
1801 ORANGE TREE LN STE 200, REDLANDS, CA 92374-4587
(909) 557-1600
(909) 557-1732

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C172147
CA
207X00000X
Orthopaedic Surgery Physician
MD422624
PA
207XX0801X
Orthopaedic Trauma Physician
C172147
CO
207XX0801X
Orthopaedic Trauma Physician
D0069284
MD
207XX0801X
Orthopaedic Trauma Physician
MD422624
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102310711
PA
01
1583229
GATEWAY-WMG
PA
01
1710902655
NPI
MD
01
2108660
HIGHMARK BLUE SHIELD-WMG
PA
05
277217500
FL
01
30084123
AMERIHEALTH MERCY-WMG
PA
01
416145
UPMC-WMG
PA
05
417879301
MD
01
6314726
CIGNA
FL
01
952901
CAREFIRST MD BCBS-WMG
MD
01
9801151
AETNA
FL
05
CA479677
CA
01
D0069284
MD LICENSE
MD
01
PENDING
AVMED
FL
Enumeration date
07/13/2006
Last updated
07/26/2021
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