Provider Demographics
NPI:1871569491
Name:LEBEC, DAVID RICHARD (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:RICHARD
Last Name:LEBEC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7482 FLORENTINA WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-1728
Mailing Address - Country:US
Mailing Address - Phone:412-874-7619
Mailing Address - Fax:
Practice Address - Street 1:7482 FLORENTINA WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-1728
Practice Address - Country:US
Practice Address - Phone:412-874-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23915207L00000X
FLME122415207L00000X, 207L00000X, 207L00000X
PAMD424159207L00000X
IL036.139453207L00000X, 207L00000X, 207L00000X
MI4301108796207L00000X, 207L00000X
SC40952207L00000X, 207L00000X
NV17569207L00000X, 207L00000X
VA0101259199207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0207026000OtherMEDICAID GROUP
WV9333201OtherMEDICARE GROUP
WV3810019131Medicaid
WV0207026000OtherMEDICAID GROUP