Individual
MICAH LELEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 SAM HOUSTON JONES PKWY STE 104, LAKE CHARLES, LA 70611-5644
(337) 480-8989
(337) 480-8988
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-2539
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD205504
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150898
—
LA
01
—
MD.205504
STATE LICENSE
LA
Enumeration date
03/18/2011
Last updated
04/28/2022
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