Lebovic, Dan Israel

Lebovic, Dan Israel is an individual health care provider with primary practice located at 4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100, Saint Louis MO 63108-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Lebovic, Dan Israel can be contacted via phone (314) 286-2400.

Contact Information

Primary practice address
4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100 Saint Louis MO 63108-2212
Phone: (314) 286-2400
Fax: (314) 286-2455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 2022030496 Missouri

Profile Details

NPI number 1194818245
LBN Legal business name Lebovic, Dan Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 25th, 2024 - about 8 months 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 1194818245 NPPES
Missouri MEDICAID 200112952

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