EDWARD A LEBRIJA, DPM, Surgery, Foot & Ankle ENID, OK

Contact Information

EDWARD A LEBRIJA, DPM

915 E. GARRIOTT
SUITE J
ENID, OK 73701

Phone: 580-297-5184
Fax: 580-234-2474
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for EDWARD A LEBRIJA · (Male)

NPI #	`1932112000`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	08/13/2006
Last updated	08/29/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	IN License # 07001260A MN License # 639 OK License # 304 WA License # PO60507271 IN Medicaid 300005361 OK Medicaid 200445530A
Hospital affiliation(s)	MEMORIAL HOSPITAL - (Acute Care) 1101 MICHIGAN AVE LOGANSPORT, IN 46947

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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EDWARD A LEBRIJA, DPM – NPI #1932112000Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

NPI Profile & details for EDWARD A LEBRIJA · (Male)

Reviews for EDWARD A LEBRIJA

EDWARD A LEBRIJA, DPM – NPI #1932112000
Surgery, Foot & Ankle