Individual
ALLISON ENGLE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16220 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4248
(225) 744-1111
Mailing address
16220 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4248
(225) 744-1111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05226311
—
MS
05
—
1806170
—
LA
Enumeration date
05/11/2006
Last updated
11/30/2010
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