Healthcare Provider Details

I. General information

NPI: 1669237137
Provider Name (Legal Business Name): LEIGH Y SUMNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 03/23/2025
Certification Date: 03/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 RUE DE LA VIE SUITE 404
BATON ROUGE LA
70817
US

IV. Provider business mailing address

500 RUE DE LA VIE SUITE 404
BATON ROUGE LA
70817
US

V. Phone/Fax

Practice location:
  • Phone: 225-215-7960
  • Fax:
Mailing address:
  • Phone: 225-215-7960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: