| Doctor Name: | DR. RICHARD I LEBOVIC |
| NPI Number: | 1003883257 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | MD01189 |
| Business Practice Address: | 623 N Wood Ave Linden, NJ - 070364151 |
| Business Phone Number: | 9089251500 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6117, EAST BRUNSWICK |
| State: | NJ |
| Postal Code: | 088166117 |
| Phone Number: | 7326131166 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | MD01189 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |