Individual
JEFFREY B LEBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429
(937) 395-8166
Mailing address
3131 NEWMARK DR, MIAMISBURG, OH 45342-5448
(374) 388-9109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35082409L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316416
BCBS FAIRFIELD
OH
01
—
000000317066
BCBS
OH
05
—
2430748
—
OH
Enumeration date
05/16/2006
Last updated
09/16/2019
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