Individual
ELIZABETH LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5530 WISCONSIN AVE, STE 1550, CHEVY CHASE, MD 20815-4404
(301) 220-1333
(301) 220-1533
Mailing address
9117 JEFFERY RD, GREAT FALLS, VA 22066-4120
(703) 966-5704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R150538
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
AC000200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000822201
—
MD
Enumeration date
07/07/2005
Last updated
04/23/2012
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