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Individual

ILSA LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
515 WESTBANK EXPY, GRETNA, LA 70053-5644
(504) 366-7233
(504) 366-0686
Mailing address
515 WESTBANK EXPY, GRETNA, LA 70053-5644
(504) 366-7233
(504) 366-0686

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207961
LA

Other

Enumeration date
03/28/2011
Last updated
12/04/2015
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