Organization
LEONI 2MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO LEONI II MD (OWNER)
(337) 981-2393
Entity
Organization
Contact information
Practice address
203 RUE LOUIS XIV, SUITE A, LAFAYETTE, LA 70508-5736
(337) 981-2393
(337) 981-9470
Mailing address
203 RUE LOUIS XIV, SUITE A, LAFAYETTE, LA 70508-5736
(337) 981-2393
(337) 981-9470
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2311913
—
LA
01
—
439415399A
BLUE CROSS OF LA
LA
Enumeration date
10/11/2007
Last updated
01/24/2020
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