Individual
CARTER LEBARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, 11-115 PHILLIPS-WANGENSTEEN BLDG., MINNEAPOLIS, MN 55455-0356
(612) 625-1400
Mailing address
516 DELAWARE ST SE, 11-115 PHILLIPS-WANGENSTEEN BLDG., MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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