Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY LEE LIBBEE, CO
ActiveLARRY LEE LIBBEE, CO is a Orthotist healthcare provider located in FORT WAYNE, Indiana. NPI 1871513614 is currently active in the NPPES registry. Verify at CMS.
Orthotist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1871513614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.086102486626 yrs)
- Last Updated
- Mar 9, 2017
- License
-
CO004903 (IN)
Practice Information
- Address
-
7735 W JEFFERSON BLVDSUITE CFORT WAYNE, IN, 468044135Browse IN providers · Browse ZIP 46804
- Phone
- 2604835219
- Fax
- 2604842291
- Primary Specialty
-
Orthotist
222Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.