Provider Demographics
NPI:1669411278
Name:LEGGIO, CHRISTOPHER T (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:T
Last Name:LEGGIO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 MAGAZINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-1735
Mailing Address - Country:US
Mailing Address - Phone:504-897-0260
Mailing Address - Fax:504-897-4050
Practice Address - Street 1:4926 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-1735
Practice Address - Country:US
Practice Address - Phone:504-897-0260
Practice Address - Fax:504-897-4050
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPD198R213E00000X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1433454Medicaid
LA721485205OtherTENET CHOICES 65
LA106093OtherCOVENTRY HEALTHCARE
LA106093OtherCOVENTRY HEALTHCARE
LA1433454Medicaid
LA721485205OtherTENET CHOICES 65