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Organization

GERALD J. LEGLUE JR., M.D., APMC

Active
Other names
Leglue Physical Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTI ANTEE (PRACTICE MANAGER)
(318) 442-8007
Entity
Organization

Contact information

Practice address
1270 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3055
(318) 442-8007
(318) 442-8334
Mailing address
1270 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3055
(318) 442-8007
(318) 442-8334

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACU.200012
LA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
018498
LA
225100000X
Physical Therapist
01110F
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E30276
UPIN
LA
Enumeration date
12/01/2014
Last updated
12/01/2014
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