TLC Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2822 Issued in AZ

Legal business name

TLC FAMILY PRACTICE

Practice address

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2263

Phone

(480) 632-7400

Fax

(480) 632-8400

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Lawrence R Lebeau, DO

Title

Member Physician

Phone

(480) 632-7400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720062367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962263",
            "telephone_number": "480-632-7400",
            "fax_number": "480-632-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962263",
            "telephone_number": "480-632-7400",
            "fax_number": "480-632-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER PHYSICIAN",
        "authorized_official_telephone_number": "480-632-7400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2822",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Kay Tinney
• Halli Tinti
• Trent R Tipton, PA-C
• Travis Michael Tirk, MMS, PA-C, ATC, M ED
• Kyle Tisi
• Steven Jay Tobler, PT
• Jolyn Mae Todd, RN
• Tammy Toguchi
• Hilary Tolson, LCSW
• Tom Sowash OD & Associates P C

• Family Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.