Individual
DR. HARRY JAMES LENABURG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 N 3RD ST, ALEXANDRIA, LA 71301-8581
(318) 449-1370
(318) 449-8495
Mailing address
1617 AUDUBON DR, ALEXANDRIA, LA 71301-4008
(623) 824-3628
(318) 449-8495
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
308405
LA
208100000X
Physical Medicine & Rehabilitation Physician
46637
AZ
208VP0014X
Interventional Pain Medicine Physician
069064
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2487736
—
LA
Enumeration date
08/14/2009
Last updated
07/11/2019
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