Provider Demographics
NPI:1477521680
Name:LEBEDOVYCH, LINDA RUTH SCHOLER
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:RUTH SCHOLER
Last Name:LEBEDOVYCH
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:RUTH
Other - Last Name:LEBEDOVYCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:3000 PIERCE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-4221
Mailing Address - Country:US
Mailing Address - Phone:337-353-9193
Mailing Address - Fax:
Practice Address - Street 1:5005 PIEDRAS AVE.
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920
Practice Address - Country:US
Practice Address - Phone:915-742-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX664060367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered