Leo Blaize Iii Md in Baton Rouge - Non-pharmacy Dispensing Site
Leo Blaize Iii Md - NPI 1952475311
Leo Blaize Iii Md is a Non-pharmacy Dispensing Site in Baton Rouge, Louisiana. Leo Blaize Iii Md practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Leo Blaize Iii Md is 1952475311. The last update date is 2007-11-21.
Leo Blaize Iii Md's current location address is 7777 Hennessy Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257658829 and fax number 2257658283. The mailing address for Leo Blaize Iii Md is 7777 Hennessy Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Leo Blaize Iii Md |
---|---|
Address | 7777 Hennessy Blvd, Baton Rouge, Louisiana |
Phone Number | 2257658829 |
Fax Number | 2257658283 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR REGION |
---|---|
Authorized Official Name | Avants Myrtha |
Telephone Number | 2252028078 |
NPI Number Detail
NPI Number | 1952475311 |
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Provider Enumeration Date | 2006-11-20 |
Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
Address | 7777 Hennessy Blvd |
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City | Baton Rouge |
State | Louisiana (LA) |
Post Code | 708084300 |
Phone Number | 2257658829 |
Fax Number | 2257658283 |
Provider's Primary Taxonomy Detail
Speciality | Non-pharmacy Dispensing Site |
---|---|
Taxonomy | 332900000X |
Licence No | 15394 |
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1932943 | OTHER ID NUMBER | ||
1932943 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leo Blaize Iii Md?
The Leo Blaize Iii Md has been issued the NPI (National Provider Identifier) 1952475311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Leo Blaize Iii Md's facilities are geographically located?
The facilities of Leo Blaize Iii Md are physically situated at the following location: 7777 Hennessy Blvd, Baton Rouge, LA, 708084300.
What is the Leo Blaize Iii Md's specialty and taxonomy code?
The Leo Blaize Iii Md's specialty is Non-pharmacy Dispensing Site, and the corresponding taxonomy code is 332900000X.
On what date did the Leo Blaize Iii Md receive its 1952475311 assignment from the Centers for Medicare & Medicaid Services?
The Leo Blaize Iii Md was assigned its 1952475311 by the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the information regarding Leo Blaize Iii Md, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Leo Blaize Iii Md, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-21.
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