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Organization

SOUTH LOUISIANA FOOT & ANKLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA J LEONARDS DPM (MEMBER)
(985) 385-2616
Entity
Organization

Contact information

Practice address
1302 LAKEWOOD DR, SUITE 102, MORGAN CITY, LA 70380-1889
(985) 384-3338
(985) 385-2618
Mailing address
1302 LAKEWOOD DR, SUITE 102, MORGAN CITY, LA 70380-1889
(985) 385-2616
(985) 385-2618

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM.200026
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2165844
LA
Enumeration date
06/27/2011
Last updated
03/04/2015
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