Individual
TREY MICHAEL LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7980
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
327290
LA
Other
Enumeration date
06/03/2021
Last updated
10/24/2023
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