Provider Demographics
NPI:1396947438
Name:LEBLANC, OPAL E (MD)
Entity type:Individual
Prefix:
First Name:OPAL
Middle Name:E
Last Name:LEBLANC
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4630 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:STE 408
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6950
Mailing Address - Country:US
Mailing Address - Phone:337-984-1050
Mailing Address - Fax:337-984-8776
Practice Address - Street 1:2807 KALISTE SALOOM RD STE 101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7141
Practice Address - Country:US
Practice Address - Phone:337-769-3444
Practice Address - Fax:337-366-0026
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2020-06-17
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Provider Licenses
StateLicense IDTaxonomies
LA199905207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology