Provider Demographics
NPI:1881917433
Name:LELEUX, TODD M (MD)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:M
Last Name:LELEUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1563
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70527-1563
Mailing Address - Country:US
Mailing Address - Phone:888-950-0844
Mailing Address - Fax:888-950-8714
Practice Address - Street 1:806 NORTH AVENUE K
Practice Address - Street 2:SUITE 101
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526
Practice Address - Country:US
Practice Address - Phone:888-950-0844
Practice Address - Fax:888-950-8714
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.202714207ZD0900X, 207ZP0102X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice