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Individual

ROBERT D LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(855) 270-5479
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(855) 270-5479

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01066366A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD.203679
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000623959
ANTHEM PROVIDER NUMBER
IN
05
200950900
IN
Enumeration date
04/25/2007
Last updated
11/29/2016
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