Provider Demographics
NPI:1700839933
Name:LEISSINGER, CINDY ANNE
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:ANNE
Last Name:LEISSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:SL-78
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5482
Mailing Address - Fax:504-988-5483
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:HC-62
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-6300
Practice Address - Fax:504-988-6348
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0159293174400000X
LAMD.015293207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1344087Medicaid
LAB61181Medicare UPIN
LA1344087Medicaid