Individual
DR. KEITH GERARD LEBLANC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 METAIRIE RD, SUITE 101, METAIRIE, LA 70005-3974
(504) 644-4226
(504) 208-1135
Mailing address
1615 METAIRIE RD, SUITE 101, METAIRIE, LA 70005-3974
(504) 644-4226
(504) 208-1135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD31526
AL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD.206061
LA
Other
Enumeration date
06/26/2008
Last updated
11/12/2013
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