Individual
DR. LOUISE ELIZABETH LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,PH.D.
Contact information
Practice address
60458 MEADOWLARK LN, CANYON CITY, OR 97820-1206
(541) 620-2700
Mailing address
180 FORD RD, JOHN DAY, OR 97845-1088
(541) 575-0404
(541) 575-1124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28160
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213078
—
OR
01
—
383998
MEDICARE - RURAL HEALTH CLINIC
OR
01
—
R0000ZGBCV
MEDICARE - CLINIC/HOSPITAL GROUP NUMBER
OR
Enumeration date
11/07/2007
Last updated
06/09/2022
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