Individual
EMILY K. LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2449 HOSPITAL DR STE 300, BOSSIER CITY, LA 71111
(318) 212-7960
(318) 212-7965
Mailing address
2449 HOSPITAL DR STE 300, BOSSIER CITY, LA 71111-1910
(318) 212-7960
(318) 212-7965
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200775
LA
363AS0400X
Surgical Physician Assistant
PA.200775
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2373072
—
LA
Enumeration date
08/15/2014
Last updated
06/30/2021
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