SHANNON C LEBAK — Medicare Enrolled Provider (PRACTITIONER - CLINICAL SOCIAL WORKER, PA)
SHANNON C LEBAK — Medicare Enrolled Provider (PRACTITIONER - CLINICAL SOCIAL WORKER, PA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: SHANNON C LEBAK; Type: Individual; NPI: 1003052754.
| Name | SHANNON C LEBAK |
|---|---|
| Type | Individual |
| NPI | 1003052754 |
| Provider type | PRACTITIONER - CLINICAL SOCIAL WORKER |
| State | PA |
| Enrollment ID | I20120221000780 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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