NPI 1952475311

Leo Blaize III MD

Organisation Non-Pharmacy Dispensing Site Baton Rouge, LA

Practice location

Address: 7777 Hennessy Blvd STE 7000, Baton Rouge, LA 70808-4300
Phone: (225) 765-8829
Fax: (225) 765-8283

Authorised official

Name: Myrtha Avants
Title: Sr Region Operations Manager
Phone: (225) 202-8078

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 015394 (LA)

Other Non-Pharmacy Dispensing Site providers in Louisiana →

Registry record

NPI: 1952475311
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 21 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.