Doctor Name: | ALICE R LEBER |
NPI Number: | 1225259146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | VP005288B |
Business Practice Address: | 900 Main St S Southbury, CT - 064884237 |
Business Phone Number: | 2032621911 |
Business Fax Number: | 2032629434 |
Mailing Address: | 405 Chestnut Tree Hill Rd, OXFORD |
State: | CT |
Postal Code: | 064781173 |
Phone Number: | 2038810501 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 01/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | VP005288B |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |