Provider Demographics
NPI:1740258912
Name:LEDOUX, HAROLD W (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:W
Last Name:LEDOUX
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Gender:M
Credentials:MD
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Mailing Address - Street 1:155 HOSPITAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2852
Mailing Address - Country:US
Mailing Address - Phone:337-235-6263
Mailing Address - Fax:337-234-9629
Practice Address - Street 1:155 HOSPITAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2852
Practice Address - Country:US
Practice Address - Phone:337-235-6263
Practice Address - Fax:337-234-9629
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2009-01-13
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Provider Licenses
StateLicense IDTaxonomies
LA009725207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1105945Medicaid
LA1105945Medicaid
LA53784Medicare ID - Type Unspecified