Individual
MICHAEL J LEDDY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3351 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 473-9556
(318) 441-8339
Mailing address
3444 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.024005
LA
207X00000X
Orthopaedic Surgery Physician
ME0088196
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD024005
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484831
—
LA
01
—
4K904F735
LA MEDICARE NUMBER
LA
Enumeration date
04/14/2006
Last updated
04/19/2023
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