Individual
MS. DORIS ELIZABETH LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
800 FULTON ST, ATTN: ANNE LAWSON, LOGANSPORT, IN 46947-1577
(574) 205-2600
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01072052A
IN
2084P0800X
Psychiatry Physician
042.0012826
VT
2084P0800X
Psychiatry Physician
15292
LA
2084P0800X
Psychiatry Physician
DR.0055334
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201148880
—
IN
Enumeration date
05/15/2007
Last updated
08/31/2016
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