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Individual

DR. HERBERT W LEBOURGEOIS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2751 WOODDALE BLVD STE A, BATON ROUGE, LA 70805-7567
(225) 925-1906
(888) 817-3026
Mailing address
5261 HIGHLAND RD # 341, BATON ROUGE, LA 70808-6547
(888) 817-3026

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
025396
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1579831
LA
Enumeration date
12/20/2006
Last updated
10/11/2020
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