Lebeau Clinic PL

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

ME105524 Issued in FL

Legal business name

LEBEAU CLINIC PL

Practice address

1020 N Palafox St
Pensacola, FL 32501-3118

Phone

(850) 308-1738

Fax

(850) 308-5420

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Jacque P. Lebeau, M.D.

Title

Facial Plastic Surgeon/Owner

Phone

(850) 308-1738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1699113605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013118",
            "telephone_number": "850-308-1738",
            "fax_number": "850-308-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013118",
            "telephone_number": "850-308-1738",
            "fax_number": "850-308-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBEAU CLINIC PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "FACIAL PLASTIC SURGEON/OWNER",
        "authorized_official_telephone_number": "850-308-1738",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME105524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Bernard Le Gall, P.A.
• Jessica R Le Noue, DO
• Anthony Nguyen Le, D.M.D
• Jada Michelle Leahy, M.D.
• Brianna Lynn Leatherwood
• Andre Marquette Lebeau, D.M.D.
• Jacque P. Lebeau, MD
• Jacque V Lebeau, DMD
• Kelly Hambrook Lebeau, DMD
• Cory Lebowitz, D.O.

• Facial Plastic Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.