Amy Nicole Lebedoff
Pediatrician Clinical Genetics (M.D.)
2525 Chicago Ave S
Minneapolis
, Minnesota 55404-4518
Amy Nicole Lebedoff
Pediatrician Clinical Genetics (M.D.)
2525 Chicago Ave S
Minneapolis
, Minnesota 55404-4518
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Amy Nicole Lebedoff
- 4227 Nicollet Ave Apt 100
- Minneapolis, MN
- Zip : 55409-2058
- Phone :
Second Address
- Amy Nicole Lebedoff
- 2525 Chicago Ave S
- Minneapolis, MN
- Zip : 55404-4518
- Fax : (612) 813-6360
- Phone : (612) 813-7240
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 67478 | MN |
| N | 208000000X | Pediatrician | 67478 | MN |
National Provider Identifier
| NPI | 1841686573 |
|---|---|
| Provider Name | Amy Nicole Lebedoff |
| First Address | Minneapolis, MN 55409-2058 |
| Second Address | Minneapolis, MN 55404-4518 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2015 |
| Last Update Date | 15/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.