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Individual

MATTHEW H LEBOEUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 899-9311
Mailing address
6311 CONSTANCE ST, NEW ORLEANS, LA 70118-5812
(832) 260-8996

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD200035
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1064106
LA
Enumeration date
09/29/2006
Last updated
05/18/2010
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