Individual
KIRK STEVEN LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W PINHOOK RD, SUITE 303, LAFAYETTE, LA 70503-2460
(337) 234-8533
(337) 234-8534
Mailing address
1000 W PINHOOK RD, SUITE 303, LAFAYETTE, LA 70503-2460
(337) 234-8533
(337) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09274R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441805
—
LA
05
—
1668681
—
LA
Enumeration date
08/22/2005
Last updated
02/15/2008
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