Individual
JAMES LEBAMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 563-3131
(260) 482-4442
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 428-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01036569
IN
207P00000X
Emergency Medicine Physician
Primary
01036569A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191935
BC/BS
IN
05
—
200036420A
—
IN
01
—
930106017
RAILROAD MEDICARE
IN
Enumeration date
12/19/2005
Last updated
07/22/2026
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