Individual provider · Type 1 NPI

Thomas Anthony Lebeau, D.P.M.

Foot & Ankle Surgery Podiatrist · St. Augustine, FL

NPI number 1659587897 Active

Practice location

1 Saint Johns Medical Park Dr
St. Augustine, FL 32086-5300

Call (904) 824-0869 Map

Fax (904) 826-0966

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X5901001508 (MI)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO3385 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1659587897

Thomas Anthony Lebeau, D.P.M.'s National Provider Identifier is 1659587897, issued on May 15, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 18, 2011.