Individual
NATALIE PHOUYAPHONE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, DEPT OF CARDIOLOGY, HARTFORD, CT 06105-1208
(860) 714-4202
(860) 714-8001
Mailing address
1000 ASYLUM AVE, SUITE 2112, HARTFORD, CT 06105-1770
(860) 714-5058
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CT
Other
Enumeration date
10/29/2012
Last updated
04/15/2013
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