Provider Demographics
NPI:1437454519
Name:TREANOR MD, LLC
Entity Type:Organization
Organization Name:TREANOR MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:TREANOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-276-2015
Mailing Address - Street 1:249 PLACE SAINT JEAN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8120
Mailing Address - Country:US
Mailing Address - Phone:225-276-2015
Mailing Address - Fax:941-295-7336
Practice Address - Street 1:20050 CRESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5207
Practice Address - Country:US
Practice Address - Phone:985-875-7525
Practice Address - Fax:941-295-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA203457207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty