Individual
LEBANON DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9223295
FL
363LN0000X
Neonatal Nurse Practitioner
9223295
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP127352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP127352
LICENSE
TX
01
—
RN9223295
LICENSE
FL
Enumeration date
04/20/2009
Last updated
04/22/2015
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