Individual
CRYSTAL LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 ONEAL LN, BATON ROUGE, LA 70816-1805
(225) 615-7555
Mailing address
810 ONEAL LN, BATON ROUGE, LA 70816-1805
(225) 615-7555
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L772434766
—
LA
Enumeration date
03/09/2020
Last updated
04/30/2024
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