Individual
DR. LESLIE CHAUVIN BER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5642 W MAIN ST, HOUMA, LA 70360-1250
(985) 448-3737
(985) 448-3736
Mailing address
PO BOX 968, THIBODAUX, LA 70302-0968
(985) 448-3737
(985) 448-3736
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
022422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490318
—
LA
Enumeration date
08/26/2005
Last updated
07/08/2007
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