Individual
DR. ALLEN JAMES LEBLANC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3807 PRESCOTT RD, ALEXANDRIA, LA 71301-3732
(318) 561-6774
(318) 561-6764
Mailing address
3807 PRESCOTT RD, ALEXANDRIA, LA 71301-3732
(318) 561-6774
(318) 561-6764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14403R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112232
—
LA
Enumeration date
10/25/2007
Last updated
10/25/2007
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