Doctor Name: | ELIZABETH LEBLANC |
NPI Number: | 1508863325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | R150538 |
Business Practice Address: | 5530 Wisconsin Ave Ste 1550 Chevy Chase, MD - 208154404 |
Business Phone Number: | 3012201333 |
Business Fax Number: | 3012201533 |
Mailing Address: | 9117 Jeffery Rd, GREAT FALLS |
State: | VA |
Postal Code: | 220664120 |
Phone Number: | 7039665704 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | R150538 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |