Individual
DR. CARMEN H LEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
745 NORTHFIELD AVE STE 7, WEST ORANGE, NJ 07052-1136
(973) 243-0002
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(973) 243-0002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07852900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061691342
TAX ID #
NJ
Enumeration date
02/24/2006
Last updated
08/24/2022
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