Provider Demographics
NPI:1063598233
Name:LEBE, DORYANN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:DORYANN
Middle Name:MARIE
Last Name:LEBE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1800 FAIRBURN AVE
Mailing Address - Street 2:#107
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:310-475-6768
Mailing Address - Fax:310-475-6296
Practice Address - Street 1:1800 FAIRBURN AVE
Practice Address - Street 2:#107
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-475-6768
Practice Address - Fax:310-475-6296
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA221162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA22116Medicare PIN