Provider Demographics
NPI:1184908832
Name:LEBEAN SLEEP CENTER LLC
Entity type:Organization
Organization Name:LEBEAN SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LEBEAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:337-889-5416
Mailing Address - Street 1:2930 MOSS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-1274
Mailing Address - Country:US
Mailing Address - Phone:337-261-0559
Mailing Address - Fax:337-261-0076
Practice Address - Street 1:2930 MOSS ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-1274
Practice Address - Country:US
Practice Address - Phone:337-889-5416
Practice Address - Fax:337-889-5418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic