MEDICARE: DR. LESLEE COOK MCNABB M.D.

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
1	2085R0202X	Diagnostic Radiology Physician	MD.200402	LA
2	2085R0202X	Diagnostic Radiology Physician	ME155388	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	PA512	OTHER	FL	HF MA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003084971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLEE COOK MCNABB M.D.

Provider Business Mailing Address
First Line	:	7803 PANOLA ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-4242
Country	:	US
Telephone Number	:	504-269-5480
Fax Number	:

Provider Business Practice Location Address
First Line	:	7803 PANOLA ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-4242
Country	:	US
Telephone Number	:	504-269-5480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	08/03/2022

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