Doctor Name: | CATHLEEN ELIZABETH LEBEAU |
NPI Number: | 1003084781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1683 |
Business Practice Address: | 3400 W Tecumseh Rd Norman, OK - 730721810 |
Business Phone Number: | 4053076900 |
Business Fax Number: | |
Mailing Address: | 8001 S I 35 Service Rd Ste 106, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731492906 |
Phone Number: | 4056006909 |
Fax Number: | 4056006978 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |