Nathan M Lebak
Internist - Allergy & Immunology
252 Mchenry St Ste 8
Burlington
, Wisconsin 53105-1828
Nathan M Lebak
Internist - Allergy & Immunology
252 Mchenry St Ste 8
Burlington
, Wisconsin 53105-1828
(414) 389-2233
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Nathan M Lebak
- 3301 W Forest Home Ave
- Milwaukee, WI
- Zip : 53215-2843
- Phone : (414) 389-2233
Second Address
- Nathan M Lebak
- 252 Mchenry St Ste 8
- Burlington, WI
- Zip : 53105-1828
- Phone : (262) 767-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 51921 | WI |
National Provider Identifier
| NPI | 1285841155 |
|---|---|
| Provider Name | Nathan M Lebak |
| First Address | Milwaukee, WI 53215-2843 |
| Second Address | Burlington, WI 53105-1828 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 19/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 35323300 | (05) | WI |
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.