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Individual

DR. BRAD WAYNE LEBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1550 OCHSNER BLVD, COVINGTON, LA 70433-8192
(985) 327-1987
(985) 327-1938
Mailing address
100 S VERMONT ST, COVINGTON, LA 70433-3244
(337) 304-9365
(985) 327-1938

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD202598
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508179
LA
Enumeration date
07/30/2007
Last updated
04/29/2024
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