Individual provider Active NPI

Lawrence R Lebeau, DO

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1427111541
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2822 Issued in AZ
Practice address
1501 N Gilbert Rd
Gilbert, AZ 85234-2390
Phone
(480) 728-4104
Fax
(480) 728-4106
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2822 AZ Primary

Addresses

Primary practice location

1501 N Gilbert Rd
Gilbert, AZ 85234-2390

Mailing address

1501 N Gilbert Rd
Gilbert, AZ 85234-2390
Phone (480) 728-4104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005001052 AZ Practitioner - Family Practice 6709879935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2822AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care CurrentSince Jan 30, 2024 Accepting new patients
Chandler Regional Medical Center Past Accepting new patients

Locations

1501 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 503-5400

20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468

4545 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 728-4000

File 56224
Los Angeles, CA 90074

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1427111541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342390",
            "telephone_number": "480-728-4104",
            "fax_number": "480-728-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342390",
            "telephone_number": "480-728-4104",
            "fax_number": "480-728-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEAU",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.