Lebaron, Tania M

Lebaron, Tania M is an individual health care provider with primary practice located at 8950 Professional Dr , Cadillac MI 49601-8599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lebaron, Tania M can be contacted via phone (231) 775-2493.

Contact Information

Primary practice address
8950 Professional Dr Cadillac MI 49601-8599
Phone: (231) 775-2493
Fax: (231) 775-2570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TL071995 Michigan

Profile Details

NPI number 1316945017
LBN Legal business name Lebaron, Tania M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 1st, 2011 - about 13 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 1316945017 NPPES
Michigan Other 130716 PREFERRED CHOICES
Michigan Other 0808300572 PREFERRED CHOICES
Michigan Other 080H376070 PREFERRED CHOICES
Michigan MEDICAID 4307786 PREFERRED CHOICES

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