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Contact Information

KEITH G LEBLANC JR, MD
1615 METAIRIE RD
SUITE 101
METAIRIE, LA70005-3974
 Phone: 504-644-4226
 Fax: 504-208-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KEITH G LEBLANC JR · (Male)

NPI Number 1972765493
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 11/12/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # MD31526
  • LA License # MD.206061
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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