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Individual

LUCILLE L. LEBOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
506 MALCOLM X BLVD, ROOM 17-125A, NEW YORK, NY 10037-1802
(212) 939-8530
(212) 939-8112
Mailing address
545 W 111TH ST, APT. 3J, NEW YORK, NY 10025-1982
(212) 932-2763

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381368-1
NY

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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