Individual
MS. ANN C LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4131 W. LOOMIS RD., STE 300, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3770
Mailing address
4131 W. LOOMIS RD., STE 300, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
826-023
WI
363AM0700X
Medical Physician Assistant
826
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42954100
—
WI
Enumeration date
04/10/2006
Last updated
12/09/2010
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