DR. Timothy Wayne Lebsack

NPI #1134205412 in Hastings, Nebraska

Provider Information

NPI Number: 1134205412
Entity Type: Individual
Name: DR. Timothy Wayne Lebsack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2628 W 2ND ST
City: Hastings
State: Nebraska
ZIP Code: 68901-4606
Phone: (402) 462-5546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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