Provider Demographics
NPI:1316985708
Name:LEYBA, LAWRENCE LLOYD (DO)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:LLOYD
Last Name:LEYBA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 BUTTERMERE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8268
Mailing Address - Country:US
Mailing Address - Phone:719-226-0661
Mailing Address - Fax:
Practice Address - Street 1:6015 BUTTERMERE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8268
Practice Address - Country:US
Practice Address - Phone:719-226-0661
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-470-65207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine