Provider Demographics
NPI:1003084971
Name:MCNABB, LESLEE COOK (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLEE
Middle Name:COOK
Last Name:MCNABB
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 1:7803 PANOLA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-4242
Mailing Address - Country:US
Mailing Address - Phone:504-269-5480
Mailing Address - Fax:
Practice Address - Street 1:7803 PANOLA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-4242
Practice Address - Country:US
Practice Address - Phone:504-269-5480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2004022085R0202X
FLME1553882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114470800Medicaid
MS04284769Medicaid
LA1070459Medicaid
FLPA512OtherHF MA