Dr. Jon Patrick Lebsack
Oral and Maxillofacial Surgeon
851 E 5th St Ste. 320
Washington
, Missouri 63090-3135
Dr. Jon Patrick Lebsack
Oral and Maxillofacial Surgeon
851 E 5th St Ste. 320
Washington
, Missouri 63090-3135
(636) 239-7150
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jon Patrick Lebsack
- 851 E 5th St Ste. 320
- Washington, MO
- Zip : 63090-3135
- Phone : (636) 239-7150
Second Address
- Dr. Jon Patrick Lebsack
- 851 E 5th St Ste. 320
- Washington, MO
- Zip : 63090-3135
- Phone : (636) 239-7150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 014793 | MO |
National Provider Identifier
| NPI | 1114931359 |
|---|---|
| Provider Name | Dr. Jon Patrick Lebsack |
| First Address | Washington, MO 63090-3135 |
| Second Address | Washington, MO 63090-3135 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U20320 | (02) | MO |
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.