KEITH L LEBRUN PA
NPI 1205810397
Physician Assistant - Medical in Sarasota, FL
About Keith L Lebrun Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH L LEBRUN PA (NPI 1205810397) is an individual medical provider in Sarasota, Florida, licensed in Florida (PA0002103) and active in the NPI registry since December 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SARASOTA, FL 34239
SARASOTA, FL 34239
SARASOTA, FL 34239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Lebrun's NPI number?
The NPI number for Keith Lebrun is 1205810397. It was assigned to this individual provider in the NPPES registry on December 1, 2005.
Where is Keith Lebrun located?
Keith Lebrun practices at 1700 S Tamiami Trail, Sarasota, FL 34239. The listed phone number is (941) 917-8507.
What is Keith Lebrun's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Keith Lebrun was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keith L Lebrun, PA · NPI 1205810397
Medical physician in Sarasota, Florida. Individual provider, active in the CMS NPPES registry since December 1, 2005.
## Identity
- **NPI:** 1205810397 (Entity type: Individual)
- **Enumerated:** December 1, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA0002103 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 S TAMIAMI TRAIL, Sarasota, FL 34239
- **Phone:** (941) 917-8507
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified E0821W (FL); Medicare UPIN S57133; Medicare ID-Type Unspecified P00197407
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Source: [NPI Profile](https://npiprofile.com/npi/1205810397) · Data from the CMS NPPES public registry.