Tlc Family Practice

NPI #1720062367 in Gilbert, Arizona

Provider Information

NPI Number: 1720062367
Entity Type: Organization
Organization Name: Tlc Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Dec 6, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 428 S GILBERT RD
Address 2: SUITE 101
City: Gilbert
State: Arizona
ZIP Code: 85296-2263
Phone: (480) 632-7400

Authorized Official

Name: LAWRENCE R LEBEAU, DO
Title: MEMBER PHYSICIAN
Phone: (480) 632-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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