| Doctor Name: | DR. DEBRA LEBO |
| NPI Number: | 1063470839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 180971 |
| Business Practice Address: | 7411 37th Ave Jackson Heights, NY - 113726339 |
| Business Phone Number: | 7184246100 |
| Business Fax Number: | 7184242940 |
| Mailing Address: | 5528 Main St, FLUSHING |
| State: | NY |
| Postal Code: | 113555044 |
| Phone Number: | 7184455100 |
| Fax Number: | 7188867466 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 07/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 180971 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |