Active NPIIndividual provider

Matthew R Leboeuf, MD

Dermatology, MOHS-Micrographic Surgery in Lebanon, New Hampshire

NPI Number1295172054
Practice location
18 Old Etna RD, Lebanon, NH 03766
Fax
—
Last updated
April 28, 2021

Matthew Robert Leboeuf is a Dermatology, MOHS-Micrographic Surgery based in Lebanon, NH. Matthew Robert Leboeuf practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Matthew Robert Leboeuf is 1295172054 and holds a License No. 18976 (NH). The current practice location address for Matthew Robert Leboeuf is 18 Old Etna RD, Lebanon, NH 03766 and can be reached out via phone at 603-650-3100.

Provider Profile Details

NPI Number
1295172054
Provider Name
Matthew Robert Leboeuf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18 Old Etna RD, Lebanon, NH 03766
Phone Number
603-650-3100
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2013
Last Update Date
April 28, 2021
Certification Date
April 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Old Etna RD
Lebanon, NH 03766
Zip
03766
Phone Number
603-650-3100
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-0001
City
Lebanon
State
NH
Zip
03756-0001

License Information

License Number (1)
18976
License State (1)
NH
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
MT204771
License State (2)
PA
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
MT204771
License State (3)
PA
License Number (4)
18976
License State (4)
NH
Taxonomy (4)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew R Leboeuf, MD?

The NPI number of Matthew R Leboeuf, MD is 1295172054. It was assigned on June 3, 2013 and is currently active in the NPPES registry.

What is the specialty of Matthew R Leboeuf, MD?

Matthew R Leboeuf, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in NH under license number 18976.

Where does Matthew R Leboeuf, MD practice?

The practice location is 18 Old Etna RD, Lebanon, NH 03766. The office can be reached at 603-650-3100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295172054 directly on the NPPES registry website.

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