Individual
DR. DAVID P LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 398-8840
(618) 398-8847
Mailing address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 398-8840
(618) 398-8847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036102560
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102560
—
IL
Enumeration date
09/06/2006
Last updated
05/17/2021
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