person
Dr. Thomas Anthony Lebeau, DPM
Foot & Ankle Surgery Podiatrist in St Augustine, Florida
NPI 1659587897

Thomas Anthony Lebeau is a Foot & Ankle Surgery Podiatrist based in St Augustine, FL and is specialized in Foot & Ankle Surgery. Thomas Anthony Lebeau practices in St Augustine, FL and has the professional credentials of DPM. The NPI Number for Thomas Anthony Lebeau is 1659587897 and holds a License No. 5901001508 (Florida).

The current practice location address for Thomas Anthony Lebeau is 1 Saint Johns Medical Park Dr, St Augustine, FL and can be reached out via phone at 904-824-0869 and via fax at 904-826-0966.

Location: 1 Saint Johns Medical Park Dr, St Augustine, FL, 32086-5300
person
Provider Profile Details
NPI Number
1659587897
Provider Name
Thomas Anthony Lebeau
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1 Saint Johns Medical Park Dr, St Augustine, FL, 32086-5300
Phone Number
904-824-0869
Fax Number
904-826-0966
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5184027 05 MI
480F37288 01 MI BLUE CROSS/BLUE SHIELD
P00408087 01 MI RAILROAD MEDICARE
001262300 05 FL
institution
Provider Business Practice Location Address Details
Address
1 Saint Johns Medical Park Dr
City
State
Zip
32086-5300
Phone Number
904-824-0869
Fax Number
904-826-0966
person
Provider Business Mailing Address Details
Address
1 Saint Johns Medical Park Dr
City
State
Zip
32086-5300
Phone Number
904-824-0869
Fax Number
904-826-0966
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901001508 (Michigan)
Definition
Definition to come...
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