Provider Demographics
NPI:1376694067
Name:LEBEL, CHRISTINE E (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:LEBEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10207 STATE HIGHWAY 37
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-4118
Mailing Address - Country:US
Mailing Address - Phone:315-393-2434
Mailing Address - Fax:
Practice Address - Street 1:10207 STATE HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-4118
Practice Address - Country:US
Practice Address - Phone:315-393-2434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331851363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner