Individual
LIBEAU JOSEPH BERTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82525 HIGHWAY 25, FOLSOM, LA 70437-6111
(985) 839-9895
(985) 839-9884
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 839-9895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013196
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300624
—
LA
Enumeration date
07/21/2006
Last updated
03/16/2016
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