Individual
DR. BRIAN LOUIS LEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-1242
Mailing address
11108 LEISURE LN, SAINT LOUIS, MO 63146-5309
(314) 395-0079
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2004025521
MO
207P00000X
Emergency Medicine Physician
Primary
2007038171
MO
Other
Enumeration date
03/24/2007
Last updated
12/16/2019
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