Individual
RICHARD JUDE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,MN
Contact information
Practice address
1105 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 470-1000
(337) 470-1006
Mailing address
1105 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 470-1000
(337) 470-1006
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
045454
LA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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