Most Relevant Information
Provider Data
| NPI Number: | 1003398322 |
| Provider Name: | CASEY M LEBLANC MPAS, PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 310485 |
Most Important Dates
| Enumeration Date: | 09/04/2018 |
| Last Updated: | 08/09/2019 |
Provider Practice Location
5000 HENNESSY BLVD
BATON ROUGE
LA
708084375
Practice Location Phone/Fax
| Phone: | 2257570552 |
| Fax: |
Provider Mailing Location
105 PATRIOT ST STE 101
LAFAYETTE
LA
705086831
Provider Mailing Phone/Fax
| Phone: | 9855197940 |
| Fax: |