Individual
LAURA E LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2142 N COVE BLVD, 5-SOUTH PEDIATRICS, TOLEDO, OH 43606-3895
(419) 291-8993
(419) 479-6102
Mailing address
2142 N COVE BLVD, 5-SOUTH PEDIATRICS, TOLEDO, OH 43606-3895
(419) 291-8993
(419) 479-6102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35078642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358018
ANTHEM
OH
01
—
05227
PHC
OH
01
—
276705793-003
MMO
OH
05
—
4729918
—
MI
Enumeration date
08/11/2005
Last updated
11/03/2023
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