Individual
DR. MICHAEL JAMES LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16099 HIGHWAY 73, PRAIRIEVILLE, LA 70769-3517
(225) 744-4567
Mailing address
PO BOX 547, PRAIRIEVILLE, LA 70769-0547
(225) 744-4567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5116
LA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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