Organization
DR. KENNETH A LEBOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN LEBOW (OFFICE MANAGER)
(757) 630-4502
Entity
Organization
Contact information
Practice address
345 EDWIN DR, VIRGINIA BEACH, VA 23462-4522
(757) 630-4502
(757) 499-2636
Mailing address
345 EDWIN DR, VIRGINIA BEACH, VA 23462-4522
(757) 497-5555
(757) 499-2636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601000666
PA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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