Provider Demographics
NPI:1528175965
Name:LEBLANC, MICHELLE LYONS (DC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYONS
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LEIGH
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3320 HESSMER AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4727
Mailing Address - Country:US
Mailing Address - Phone:504-837-9300
Mailing Address - Fax:504-833-7222
Practice Address - Street 1:3320 HESSMER AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4727
Practice Address - Country:US
Practice Address - Phone:504-837-9300
Practice Address - Fax:504-833-7222
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1560332Medicaid
LA5X969Medicare ID - Type Unspecified
LA1560332Medicaid