Provider Demographics
NPI:1144221912
Name:TRUEHART, LEANNE MCBURNEY (MD)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:MCBURNEY
Last Name:TRUEHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:MARIE
Other - Last Name:MCBURNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:943 CAHOULA CT
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1507
Mailing Address - Country:US
Mailing Address - Phone:985-893-7444
Mailing Address - Fax:985-893-0706
Practice Address - Street 1:943 CAHOULA CT
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1507
Practice Address - Country:US
Practice Address - Phone:985-893-7444
Practice Address - Fax:985-893-0706
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12492R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1539546Medicaid
LA1539546Medicaid
5A665Medicare ID - Type UnspecifiedHAS BEEN DEACTIVATED