Lebamoff, Damian Ivan

Lebamoff, Damian Ivan is an individual health care provider with primary practice located at 3737 Southern Blvd Ste 2000 , Dayton OH 45429-1285. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lebamoff, Damian Ivan can be contacted via phone (937) 228-4126.

Contact Information

Primary practice address
3737 Southern Blvd Ste 2000 Dayton OH 45429-1285
Phone: (937) 228-4126
Fax: (937) 228-0247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35070091 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35070091 Ohio

Profile Details

NPI number 1831163518
LBN Legal business name Lebamoff, Damian Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831163518 NPPES
Ohio MEDICAID 0241974

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