Provider Demographics
NPI:1407053531
Name:SUE C. LEBLANC APDC
Entity Type:Organization
Organization Name:SUE C. LEBLANC APDC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-320-4576
Mailing Address - Street 1:1007 W THOMAS ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-3062
Mailing Address - Country:US
Mailing Address - Phone:985-345-8602
Mailing Address - Fax:
Practice Address - Street 1:1007 W THOMAS ST
Practice Address - Street 2:SUITE E
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-3062
Practice Address - Country:US
Practice Address - Phone:985-345-8602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA2728261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental