LEO BLAIZE III MD; NPI #1952475311

Contact Information

LEO BLAIZE III MD

7777 HENNESSY BLVD
STE 7000
BATON ROUGE, LA 70808-4300

Phone: 225-765-8829
Fax: 225-765-8283
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for LEO BLAIZE III MD

NPI Number 1952475311

LBN Legal business name LEO BLAIZE III MD

Authorized official MYRTHA AVANTS - (SR REGION OPERATIONS MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/20/2006

Last updated 11/21/2007 - About 19 years ago

Identifiers

LA	License #	015394
	Other	1932943	OTHER ID NUMBER
	Other	1932943	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LEO BLAIZE III MD

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for LEO BLAIZE III MD

Reviews for LEO BLAIZE III MD