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NPI Code Detail

MEDICARE: JEFFREY P LEBLANC CRNA

MEDICARE: JEFFREY P LEBLANC CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN081226LA

General Provider Information

NPI Number : 1801997804
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY P LEBLANC CRNA
Provider Business Mailing Address
First Line : PO BOX 14388
Second Line :
City : BATON ROUGE
State : LA
Zip : 70898-4388
Country : US
Telephone Number : 225-923-0030
Fax Number :
Provider Business Practice Location Address
First Line : 8946 INTERLINE AVE
Second Line : SUITE C
City : BATON ROUGE
State : LA
Zip : 70809-1913
Country : US
Telephone Number : 225-923-0030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/27/2024

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