Provider Demographics
NPI:1225024177
Name:LEBEL, DIANE M (MD)
Entity Type:Individual
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First Name:DIANE
Middle Name:M
Last Name:LEBEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:242 GREEN ST
Mailing Address - Street 2:DEPT. PATHOLOGY
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-1336
Mailing Address - Country:US
Mailing Address - Phone:978-630-6256
Mailing Address - Fax:978-630-6489
Practice Address - Street 1:242 GREEN ST
Practice Address - Street 2:DEPT. PATHOLOGY
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-1336
Practice Address - Country:US
Practice Address - Phone:978-630-6255
Practice Address - Fax:978-630-6258
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2010-12-23
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Provider Licenses
StateLicense IDTaxonomies
MA49146207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3026531Medicaid
MAJ06775Medicare ID - Type Unspecified
A66509Medicare UPIN