Healthcare Provider Details

I. General information

NPI: 1023949690
Provider Name (Legal Business Name): LE FAMILY CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11485 FLORIDA BLVD STE B
BATON ROUGE LA
70815-2404
US

IV. Provider business mailing address

11485 FLORIDA BLVD STE B
BATON ROUGE LA
70815-2404
US

V. Phone/Fax

Practice location:
  • Phone: 225-485-9440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MIKE TRINH LE
Title or Position: MANAGER
Credential: MD
Phone: 225-485-9440