Lebeau, Laura M

Lebeau, Laura M is an sole proprietor health care provider with primary practice located at 2124 S Austin Blvd , Cicero IL 60804-2012. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Lebeau, Laura M can be contacted via phone (708) 863-5376.

Contact Information

Primary practice address
2124 S Austin Blvd Cicero IL 60804-2012
Phone: (708) 863-5376
Fax: (708) 863-5375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004478 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 835025 Wisconsin

Profile Details

NPI number 1962454017
LBN Legal business name Lebeau, Laura M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jun 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962454017 NPPES
Illinois MEDICAID 016004478
Illinois Other 60000161
Illinois Other 0732240001

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