Doctor Name: | DR. MARY L. BRADLEY-LEBOEUF |
NPI Number: | 1497724041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 22507 |
Business Practice Address: | 1307 Lynn Ln Idabel, OK - 747456845 |
Business Phone Number: | 5802865437 |
Business Fax Number: | 5802863955 |
Mailing Address: | 1307 Lynn Ln, IDABEL |
State: | OK |
Postal Code: | 747456845 |
Phone Number: | 5802865437 |
Fax Number: | 5802863955 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 22507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |