Individual
DR. BRECK JON LEBEGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6691
(253) 426-6492
Mailing address
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-6707
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
159944-1205
UT
2084P0800X
Psychiatry Physician
Primary
MD60527976
WA
Other
Enumeration date
01/05/2006
Last updated
07/21/2022
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