Organization
LEONARD P. NEUMANN JR MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD P. NEUMANN JR. MD (OWNER/MEDICAL DIRECTOR)
(318) 574-4731
Entity
Organization
Contact information
Practice address
800 JOHNSON ST., TALLULAH, LA 71282-4235
(318) 574-4731
(318) 574-4739
Mailing address
PO BOX 309, TALLULAH, LA 71284-0309
(318) 574-4731
(318) 574-4739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1198579
MEDICAID INDIVIDUAL
—
05
—
1948497
—
LA
01
—
4336215270
BLUE CROSS OF LA
—
01
—
54420
MEDICARE INDIVIDUAL
—
01
—
827113052
PALMETTO GBA RAILROAD MED
—
Enumeration date
12/04/2006
Last updated
05/21/2010
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