Kallie R Lebourgeois, AUD

Practice location

Address

8080 Bluebonnet Blvd Suite 2121, Baton Rouge, LA 70810-7827

Phone

(225) 408-6734

Fax

(225) 766-3851

Mailing address

604 N Acadia Rd STE 101, Thibodaux, LA 70301-4897

Registered specialties

Registry record

NPI

1699208868

Entity type

Individual

Sex (as registered)

Female

NPI issued

5 Apr 2017

Record last updated

5 Mar 2024

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.