Individual
DR. JENNY LYNN LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-3480
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
BP1-0029111
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD.202679
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06852518
—
MS
05
—
1500607
—
LA
01
—
4642975299
MYUTMB 4642975299
—
Enumeration date
08/05/2007
Last updated
07/17/2012
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