Individual
DR. LEO PAUL BLAIZE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 7000, BATON ROUGE, LA 70808-4300
(225) 765-8829
(225) 765-8283
Mailing address
7777 HENNESSY BLVD, SUITE 7000, BATON ROUGE, LA 70808-4300
(225) 765-8829
(225) 765-8283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110043365
RAILROAD MEDICARE
LA
05
—
1327891
—
LA
Enumeration date
07/26/2005
Last updated
01/14/2021
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