Provider Demographics
NPI:1215180492
Name:FRANCIS P LEBUFFE, MD, PLLC
Entity Type:Organization
Organization Name:FRANCIS P LEBUFFE, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEBUFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-522-5779
Mailing Address - Street 1:PO BOX 18559
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37928-2559
Mailing Address - Country:US
Mailing Address - Phone:865-522-5779
Mailing Address - Fax:865-522-5780
Practice Address - Street 1:3101 ESSARY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2409
Practice Address - Country:US
Practice Address - Phone:865-522-5779
Practice Address - Fax:865-522-5780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000024540174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3076726Medicaid
TN1506821Medicaid
TN1506821Medicaid
TN30767204Medicare PIN