Individual
MICHAEL ASHLEY LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 349-1387
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
(318) 841-9526
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD.205897
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.205897
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882879
—
LA
Enumeration date
05/05/2009
Last updated
01/22/2018
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