Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD031802E | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD031802E | PA |
NPI | 1013924356 |
---|---|
Provider Name | Dr. Carol Lebischak |
First Address | Coral Gables, FL 33133-4841 |
Second Address | Coral Gables, FL 33133-4841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 15/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001393412 | (05) | PA |
8530203 | (05) | NJ |
F16494 | (02) |