Individual
DR. GERALD J LEGLUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3055
(318) 442-8007
(318) 442-1822
Mailing address
1270 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3055
(318) 442-8007
(318) 442-1822
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
018498
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397466
—
LA
Enumeration date
08/12/2005
Last updated
06/05/2019
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