Harlan G Lebow, M.D.
Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Conley, GA
NPI 1306963442 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1306963442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- License
- 012628 (GA)
- Practice address
- 4223 Highway 42
Conley, GA 30288 - Phone
- (615) 778-4066
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 012628 | GA | Yes |
Addresses
Primary practice location
4223 Highway 42
Conley, GA 30288
Mailing address
5080 Spectrum Drive
Suite 1200 West Tower
Addison, TX 75001
Phone (800) 232-3550
Other providers in Conley, GA
- Maurice Christopher Hill
- Innervisions, LLC
- Nicole T Jenkins
- Islande Jeune
- Alpha H Kamara
- Lonuis Lucky
- Justone Malone
- Cherryl Miller
- Pamela Hood Nelson
- Occupational Health Centers of Georgia PC
All providers in Conley, GA · Preventive Medicine/Occupational Environmental Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.