Basic Information
Provider Information
NPI: 1871569491
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEBEC
FirstName: DAVID
MiddleName: RICHARD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9671 LIPARI CT
Address2:  
City: NAPLES
State: FL
PostalCode: 341137739
CountryCode: US
TelephoneNumber: 4128747619
FaxNumber:  
Practice Location
Address1: 4725 N FEDERAL HWY
Address2:  
City: FORT LAUDERDALE
State: FL
PostalCode: 333084668
CountryCode: US
TelephoneNumber: 9544935005
FaxNumber: 9549380957
Other Information
ProviderEnumerationDate: 02/24/2006
LastUpdateDate: 10/01/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/01/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2017-01277NCN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD424159PAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X23915WVN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X61551MNN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X79297GAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X271003NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X216834MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X25MA094334900NJN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X35.094487OHN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X0101259199VAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X036.139453ILN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X4301108796MIN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X40952SCN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X17569NVN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XME122415FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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