Individual
JOSHUA LEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 W MCNEESE ST, LAKE CHARLES, LA 70605-5638
(337) 475-1053
(337) 475-1048
Mailing address
4009 LOUISIANA AVE, LAKE CHARLES, LA 70607-4634
(337) 824-5488
(337) 824-5494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09073R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09073R
DPT
LA
Enumeration date
05/22/2015
Last updated
05/22/2015
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