| Le Neuro Clinic | |
|
11485 Florida Blvd Suite B Baton Rouge LA 70815 | |
| (716) 382-8896 | |
| Not Available |
| Full Name | Le Neuro Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11485 Florida Blvd Suite B, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Phu Le (OWNER) |
| Authorized Official Contact | 7163828896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Neuro Clinic 11485 Florida Blvd Baton Rouge LA 70815 Ph: (716) 382-8896 | Le Neuro Clinic 11485 Florida Blvd Suite B Baton Rouge LA 70815 Ph: (716) 382-8896 |
| NPI Number | 1457135659 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 7012364920 |
|---|---|
| Medicare Enrollment ID | O20231115001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457135659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Phu Sy Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073046371 PECOS PAC ID: 0244577625 Enrollment ID: I20231115001424 |
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