Organization
KIRK S LEBLANC MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK STEPHEN LEBLANC (PHYSICIAN PRESIDENT)
(337) 234-8533
Entity
Organization
Contact information
Practice address
1000 W PINHOOK RD STE 303, LAFAYETTE, LA 70503-2460
(337) 234-8533
(337) 234-8534
Mailing address
1000 W PINHOOK RD STE 303, LAFAYETTE, LA 70503-2460
(337) 234-8533
(337) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09274R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441805
—
LA
05
—
1668681
—
LA
01
—
1760474191
INDIVIDUAL NPI
—
Enumeration date
04/25/2007
Last updated
02/11/2008
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