Individual
JOHANNAH LEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W WASHINGTON SQ, FARM JOURNAL BUIDING, 2ND FLOOR, PHILADELPHIA, PA 19106-3585
(215) 829-6088
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 840-5683
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014842
PA
Other
Enumeration date
06/30/2015
Last updated
07/10/2015
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