Provider Demographics
NPI:1962436006
Name:LEBLANC, LEANNE LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:LOUISE
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 MAGAZINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5016
Mailing Address - Country:US
Mailing Address - Phone:504-529-5558
Mailing Address - Fax:504-529-8840
Practice Address - Street 1:1936 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5016
Practice Address - Country:US
Practice Address - Phone:504-529-5558
Practice Address - Fax:504-529-8840
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-450510207Q00000X
LAMD.10910R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102899045Medicaid
LA1997439Medicaid
LA1997439Medicaid
PA337121YEBKMedicare PIN
LA5U728Medicare UPIN
LA1997439Medicaid