Provider Demographics
NPI:1962664409
Name:LEBED, BRETT DANIEL (MD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:DANIEL
Last Name:LEBED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:225 PRADO RD STE D
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-7363
Mailing Address - Country:US
Mailing Address - Phone:805-786-2500
Mailing Address - Fax:805-781-0423
Practice Address - Street 1:116 S PALISADE DR STE 110
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8905
Practice Address - Country:US
Practice Address - Phone:805-349-7133
Practice Address - Fax:805-349-7137
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2022-05-31
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Provider Licenses
StateLicense IDTaxonomies
SC30616208800000X
PAMD424755208800000X
CAC55845208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology