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Individual

SHARON M LEBOEUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 842-7588
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP02177
LA
363L00000X
Nurse Practitioner
RN032547
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01587028
MS
05
1134198
LA
Enumeration date
04/24/2009
Last updated
02/09/2010
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