Individual
LAURA M LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
4705 MONTGOMERY BLVD NE, SUITE 102, ALBUQUERQUE, NM 87109-1226
(505) 727-7833
(505) 727-6944
Mailing address
4001 INDIAN SCHOOL RD NE, SUITE 325, ALBUQUERQUE, NM 87110-3816
(505) 727-5785
(505) 727-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R24443
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11336056
—
NM
05
—
201049006
—
NM
05
—
888042
—
AZ
01
—
A17756
PRONET/AETNA
NM
01
—
NM006A18
BCBS
NM
Enumeration date
07/31/2006
Last updated
07/29/2011
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