Individual
MEGAN LEBLANC THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2005 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4139
(337) 562-2293
(337) 562-0765
Mailing address
2005 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4139
(337) 562-2293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202279
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202279
LOUISIANA STATE BOARD OF NURSING
LA
Enumeration date
01/04/2019
Last updated
05/19/2022
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