| Bryan A. Lebean,sr,md,apmc | |
|
2930 Moss St Suite B Lafayette LA 70501-1274 | |
| (337) 261-0559 | |
| (337) 261-0076 |
| Full Name | Bryan A. Lebean,sr,md,apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2930 Moss St, Lafayette, Louisiana |
| Authorized Official Name and Position | Bryan A Lebean (OWNER) |
| Authorized Official Contact | 3372610559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan A. Lebean,sr,md,apmc 2930 Moss St Suite B Lafayette LA 70501-1274 Ph: (337) 261-0559 | Bryan A. Lebean,sr,md,apmc 2930 Moss St Suite B Lafayette LA 70501-1274 Ph: (337) 261-0559 |
| NPI Number | 1093848657 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 10/29/2021 |
| Medicare PECOS PAC ID | 1052481942 |
|---|---|
| Medicare Enrollment ID | O20080604000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093848657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | L022124 (Louisiana) | Secondary |
| Provider Name | Bryan Lebean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821052754 PECOS PAC ID: 6709956691 Enrollment ID: I20080604000302 |
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