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JACQUE P. LEBEAU MD NPI 1891828281


NPI Information

NPI: 1891828281
Provider Name: JACQUE P. LEBEAU, MD
Classification: Otolaryngology - 207YP0228X
Entity Type: Individual

Specialization: Pediatric Otolaryngology

PECOS Registration: Yes

Address:
5153 NORTH 9TH AVE.
NEMOURS CHILDRENS CLINIC, PENSACOLA
PENSACOLA, FL
ZIP 32504
Phone: (850) 505-4735
Get Directions

Jacque P. Lebeau, MD is a pediatric otolaryngology otolaryngology in Pensacola, FL. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. Jacque P. Lebeau, MD NPI is 1891828281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5153 NORTH 9TH AVE.
NEMOURS CHILDRENS CLINIC, PENSACOLA
PENSACOLA, FL
ZIP 32504-785
Phone: (850) 505-4735
Fax: (850) 505-4714

The NPI 1891828281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Y00000XOtolaryngology2009009831MISSOURINo
3207YP0228XOtolaryngologyPediatric OtolaryngologyME105524FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891828281MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.