| Robert F Lebow LLC | |
|
907 E Michigan St Indianapolis IN 46202-3625 | |
| (317) 262-0950 | |
| (317) 267-0244 |
| Full Name | Robert F Lebow LLC |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 907 E Michigan St, Indianapolis, Indiana |
| Authorized Official Name and Position | Robert F Lebow (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3172620950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert F Lebow LLC 907 E Michigan St Indianapolis IN 46202-3625 Ph: (317) 262-0950 | Robert F Lebow LLC 907 E Michigan St Indianapolis IN 46202-3625 Ph: (317) 262-0950 |
| NPI Number | 1811932528 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811932528 | NPI | - | NPPES |
| 200314500A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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