Individual
JACOB KYLE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508-8802
(337) 470-4881
(337) 470-4882
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(374) 704-8813
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
330961
LA
Other
Enumeration date
03/27/2017
Last updated
01/02/2025
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