Most Relevant Information
Provider Data
| NPI Number: | 1003044843 |
| Provider Name: | JACQUE V LEBEAU DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 6878 |
Most Important Dates
| Enumeration Date: | 07/01/2009 |
| Last Updated: | 07/01/2009 |
Provider Practice Location
1401 N PALAFOX ST
PENSACOLA
FL
325012642
Practice Location Phone/Fax
| Phone: | 8504341964 |
| Fax: | 8504304123 |
Provider Mailing Location
1401 N PALAFOX ST
PENSACOLA
FL
325012642
Provider Mailing Phone/Fax
| Phone: | 8504341964 |
| Fax: | 8504304123 |