Individual
JAY S. LEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1626 E FORT AVE, BALTIMORE, MD 21230-5245
(410) 332-1414
(410) 332-1423
Mailing address
1626 E FORT AVE, BALTIMORE, MD 21230-5245
(410) 332-1414
(410) 332-1423
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00671
MD
Other
Enumeration date
10/04/2007
Last updated
12/26/2007
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