NPI 1871513614

Larry Lee Libbee, CO

Practitioner Orthotist Fort Wayne, IN

Practice location

Address: 7735 W Jefferson Blvd Suite C, Fort Wayne, IN 46804-4135
Phone: (260) 483-5219
Fax: (260) 484-2291

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO004903 (IN)

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Registry record

NPI: 1871513614
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 9 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.