Leo Blaize III MD
Leo Blaize III MD is a Non-Pharmacy Dispensing Site in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
Practice location Address checks out
7777 Hennessy Blvd Ste 7000Baton Rouge, LA 70808-4300
Phone: (225) 765-8829
Fax: (225) 765-8283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 015394 (LA) |
|---|
Record details
| NPI number | 1952475311 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Myrtha Avants — Sr Region Operations Manager · (225) 202-8078 |
| Other names | Lake Internal Medicine At Hennessy |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | November 21, 2007 |
| Mailing address | 7777 Hennessy Blvd, Ste 7000, Baton Rouge, LA 70808-4300 |
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