Organization
LEBLANC PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEBLANC MD (CEO)
(985) 674-2227
Entity
Organization
Contact information
Practice address
1100 N CAUSEWAY BLVD, SUITE 104, MANDEVILLE, LA 70471-3209
(985) 674-2227
(985) 674-1227
Mailing address
1100 N CAUSEWAY BLVD, SUITE 104, MANDEVILLE, LA 70471-3209
(985) 674-2227
(985) 674-1227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4945
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116734
—
LA
05
—
1712523
—
LA
Enumeration date
09/29/2011
Last updated
09/29/2011
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