Provider Demographics
NPI:1649544321
Name:LEBLANC, YVETTE L
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:L
Last Name:LEBLANC
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 1:5010 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NAPOLEONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70390-2200
Mailing Address - Country:US
Mailing Address - Phone:985-369-4460
Mailing Address - Fax:985-369-4461
Practice Address - Street 1:5010 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NAPOLEONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70390-2200
Practice Address - Country:US
Practice Address - Phone:985-369-4460
Practice Address - Fax:985-369-4461
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator