Individual
MS. ANDREE ELIZABETH LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
123 FRONTAGE ROAD A, GRAY, LA 70359-6301
(985) 580-1200
Mailing address
215 SAINT PETER ST, RACELAND, LA 70394-2712
(985) 688-3651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO1232
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66246
—
LA
Enumeration date
02/06/2007
Last updated
05/12/2015
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