| Doctor Name: | MS. KATY LEBBING |
| NPI Number: | 1700095205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S., I.B.C.L.C. |
| License Number: | 197-14079 |
| Business Practice Address: | 519 Calduto Cir Villa Park, IL - 601813484 |
| Business Phone Number: | 6308331248 |
| Business Fax Number: | |
| Mailing Address: | 519 Calduto Cir, VILLA PARK |
| State: | IL |
| Postal Code: | 601813484 |
| Phone Number: | 6308331248 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 08/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 197-14079 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |