Individual
DR. STEPHEN LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23514
MS
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
23514
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09975030
—
MS
Enumeration date
06/29/2012
Last updated
04/26/2022
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