Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD.205388 | LA |
NPI | 1164666723 |
---|---|
Provider Name | Dana Marie Leblanc |
First Address | New Orleans, LA 70118-3708 |
Second Address | New Orleans, LA 70118-3708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 10/07/2015 |