MR. THAD ELTER LEBOEUF APRN FNP-C NPI 1225559586

NPI Information

NPI: 1225559586
Provider Name: MR. THAD ELTER LEBOEUF, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 494-3036
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MR. Thad Elter Leboeuf, APRN, FNP-C is a family nurse practitioner in Lake Charles, LA with 7 years of experience. MR. Thad Elter Leboeuf, APRN, FNP-C NPI is 1225559586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1701 OAK PARK BLVD
LAKE CHARLES, LA
ZIP 70601-911
Phone: (337) 494-3036
Fax: (337) 494-2181

The NPI 1225559586 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 6/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP09410	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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