Lebovic, Dan Israel
Lebovic, Dan Israel is an individual health care provider with primary practice located at 4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100, Saint Louis MO 63108-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Lebovic, Dan Israel can be contacted via phone (314) 286-2400.Contact Information
Primary practice address
4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100
Saint Louis MO 63108-2212
Phone: (314) 286-2400
Fax: (314) 286-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 2022030496 | Missouri |
Profile Details
| NPI number | 1194818245 |
|---|---|
| LBN Legal business name | Lebovic, Dan Israel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Apr 25th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194818245 | NPPES |
| Missouri | MEDICAID | 200112952 |
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