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NPI Code Detail

MEDICARE: LESLIE ROBICHAUX

MEDICARE:   LESLIE  ROBICHAUX
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207L00000XAnesthesiology Physician326536LA

General Provider Information

NPI Number : 1184086514
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE ROBICHAUX
Provider Business Mailing Address
First Line : 11414 LAKE SHERWOOD AVE N
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-0406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11414 LAKE SHERWOOD AVE N
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-0406
Country : US
Telephone Number : 225-263-0122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2016
Last Update Date : 06/28/2021

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Directions to “ LESLIE ROBICHAUX ” Practice Location

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