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
Provider Enumeration Date 2006-11-20
Last Updated Date 2007-11-21

Provider Mailing Address Detail

Address 7777 Hennessy Blvd
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

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FAQs about Leo Blaize Iii Md

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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