Individual
DR. BRYAN ANTHONY LEBEAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2930 MOSS ST, SUITE B, LAFAYETTE, LA 70501-1274
(337) 261-0559
(337) 261-0076
Mailing address
2930 MOSS ST, SUITE B, LAFAYETTE, LA 70501-1274
(337) 261-0559
(337) 261-0076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022124
LA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
022124
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1656542
—
LA
Enumeration date
04/17/2006
Last updated
10/28/2021
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