Lebo'S Shoe Store, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LEBO'S SHOE STORE, INC

Practice address

7300 E Independence Blvd
Charlotte, NC 28227-9400

Phone

(704) 535-5000

NPI assigned

Sep 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Goldsmith

Title

Foot Specialist

Phone

(704) 641-4243

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1013167253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 CROWN CENTRE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277705",
            "telephone_number": "704-321-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 E INDEPENDENCE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279400",
            "telephone_number": "704-535-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBO'S SHOE STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FOOT SPECIALIST",
        "authorized_official_telephone_number": "704-641-4243"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Leavell, PSY.D.
• Andrew Leavens, BSN
• Emily Leavitt
• Mara Hannigan Leavitt, DNP, CRNA
• Amy Felice Leblanc, FNP
• Annie Laurie Lebouton
• Krista Lebron, FNP
• Charlotte Lechner, PT, DPT
• Paula Ann Lechner, OT
• Russell Charles Leciejewski, NP

• Prosthetic/Orthotic Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.