Individual
RICHARD THOMAS LEBLANC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2750 EAST GAUSE BLVD., SLIDELL, LA 70461-4149
(985) 639-3777
(985) 646-4448
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
(985) 646-4448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14631R
LA
208600000X
Surgery Physician
Primary
MD.14631R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09908349
—
MS
05
—
1120596
—
LA
Enumeration date
10/14/2006
Last updated
11/05/2010
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