Doctor Name: | DR. LEZLIE RENE KUEBKER |
NPI Number: | 1336130251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | N1951 |
Business Practice Address: | 2200 Bergquist Drive, Ste 1 Wilford Hall Medical Center, 59th Medical Wing Lackland Afb, TX - 782369908 |
Business Phone Number: | 2102925282 |
Business Fax Number: | |
Mailing Address: | 13114 Regency Frst, SAN ANTONIO |
State: | TX |
Postal Code: | 782494848 |
Phone Number: | 2105615669 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | N1951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |