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NPI Code Detail

MEDICARE: LEROY BRANDON QUINN LPN

MEDICARE: LEROY BRANDON QUINN LPN
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
1164W00000XLicensed Practical Nurse30006848LA

General Provider Information

NPI Number : 1740121680
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEROY BRANDON QUINN LPN
Provider Business Mailing Address
First Line : 1631 ELYSIAN FIELDS AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8208
Country : US
Telephone Number : 504-821-2601
Fax Number : 888-736-9806
Provider Business Practice Location Address
First Line : 1631 ELYSIAN FIELDS AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8208
Country : US
Telephone Number : 504-821-2601
Fax Number : 888-736-9806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2026
Last Update Date : 04/03/2026

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Directions to “ LEROY BRANDON QUINN LPN” Practice Location

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