Provider Demographics
NPI:1851821649
Name:LEREBOURS, LOUIS REGINALD JR (MD)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:REGINALD
Last Name:LEREBOURS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1390 ADAMS ST APT 420
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-1954
Mailing Address - Country:US
Mailing Address - Phone:955-483-8872
Mailing Address - Fax:
Practice Address - Street 1:1001 CAPITAL FUNDS CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3937
Practice Address - Country:US
Practice Address - Phone:615-361-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN60409207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine