Individual
LAUREN LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
923 PENNSYLVANIA AVE, 100, FORT WORTH, TX 76104-2254
(817) 920-0484
(817) 920-0068
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 920-0068
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
743297
TX
Other
Enumeration date
11/07/2013
Last updated
12/20/2013
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