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NPI Code Detail

MEDICARE: JON D LELEUX MD

MEDICARE: JON D LELEUX MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician21348LA
2207RI0011XInterventional Cardiology Physician21348LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00376118OTHERRRMC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922000801
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON D LELEUX MD
Provider Business Mailing Address
First Line : 213 RUE FONTAINE
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-5742
Country : US
Telephone Number : 337-269-9777
Fax Number : 337-269-0244
Provider Business Practice Location Address
First Line : 315 RUE LOUIS XIV BLDG B
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-5734
Country : US
Telephone Number : 337-269-9777
Fax Number : 337-269-0244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 06/22/2021

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