Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 231172 | MA |
N | 207V00000X | Obstetrician & Gynecologist | ME106639 | FL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME106639 | FL |
NPI | 1972724433 |
---|---|
Provider Name | Dr. Emily E Weber Lebrun |
First Address | Gainesville, FL 32610-0294 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 25/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002343900 | (05) | FL |