Individual
MARY MICHAELA LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1293 ELBOWOODS LOOP, NEW TOWN, ND 58763
(701) 627-4340
Mailing address
1293 ELBOWOODS LOOP, NEW TOWN, ND 58763
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
45496
ND
251B00000X
Case Management Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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