Provider Demographics
NPI:1922989417
Name:VIATOR, CAROLINE LEBLANC (PA-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LEBLANC
Last Name:VIATOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 BUENOS AIRES AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6876
Mailing Address - Country:US
Mailing Address - Phone:337-967-4033
Mailing Address - Fax:
Practice Address - Street 1:526 CROWLEY RAYNE HWY
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-8209
Practice Address - Country:US
Practice Address - Phone:337-783-5519
Practice Address - Fax:337-783-5521
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA349072363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant