Individual
ANDREA JEAN LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
Mailing address
147 SADLER LN, WILLISTON, VT 05495-7847
(802) 598-2137
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
135-0000065
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/19/2021
Last updated
11/30/2022
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