MEDICARE: LLOYD PHILLIP RYAN LEONARDS 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	207R00000X	Internal Medicine Physician	303032	LA

General Provider Information

NPI Number	:	1952644056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LLOYD PHILLIP RYAN LEONARDS M.D.

Provider Business Mailing Address
First Line	:	3955 GOVERNMENT ST STE 2
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-5755
Country	:	US
Telephone Number	:	225-529-3871
Fax Number	:	225-529-3880

Provider Business Practice Location Address
First Line	:	3955 GOVERNMENT ST STE 2
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-5755
Country	:	US
Telephone Number	:	225-529-3871
Fax Number	:	225-529-3880

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

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	01/22/2019

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