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Individual

DR. ANDREW JUDE LEBLANC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP(C), CRNA

Contact information

Practice address
200 GREENLEAVES BLVD, MANDEVILLE, LA 70448-7018
(855) 300-7525
Mailing address
608 W CHURCH ST, DELCAMBRE, LA 70528-3608

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253383-30
WI
163W00000X
Registered Nurse
RN147858
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
231769
LA

Other

Enumeration date
03/14/2023
Last updated
12/22/2024
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