Organization
LEBLANC WOMEN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN JAMES LEBLANC JR. M.D., PH.D. (PRESIDENT)
(318) 561-6774
Entity
Organization
Contact information
Practice address
3807 PRESCOTT RD, ALEXANDRIA, LA 71301-3732
(318) 561-6774
(318) 561-6764
Mailing address
3807 PRESCOTT RD, ALEXANDRIA, LA 71301-3732
(318) 561-6774
(318) 561-6764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14403R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112232
—
LA
01
—
G5068
BLUE CROSS BLUE SHIELD
LA
Enumeration date
06/23/2005
Last updated
08/22/2020
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