Organization
NORTHLAKE HEMATOLOGY/ONCOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DALE LEBLANC M.D. (PRESIDENT)
(985) 646-2411
Entity
Organization
Contact information
Practice address
1120 ROBERT BLVD, SUITE 200, SLIDELL, LA 70458
(985) 646-2411
(985) 646-2413
Mailing address
1120 ROBERT BLVD, SUITE 200, SLIDELL, LA 70458
(985) 646-2411
(985) 646-2413
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09080277
—
MS
05
—
1356409
—
LA
Enumeration date
12/27/2006
Last updated
02/25/2011
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