Individual
CASEY M LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 757-0552
Mailing address
105 PATRIOT ST STE 101, LAFAYETTE, LA 70508-6831
(985) 519-7940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310485
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310485
LSBME
LA
Enumeration date
09/04/2018
Last updated
08/09/2019
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