| Doctor Name: | DR. NICOLE LEBLANC |
| NPI Number: | 1902189798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DVM |
| License Number: | 6464-050 |
| Business Practice Address: | 700 Sw 30th Street College Of Veterinary Medicine Oregon State University Corvallis, OR - 97331 |
| Business Phone Number: | 5417372098 |
| Business Fax Number: | |
| Mailing Address: | 700 Sw 30th Street, College Of Veterinary Medicine Oregon State University CORVALLIS |
| State: | OR |
| Postal Code: | 97331 |
| Phone Number: | 5417372098 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2011 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 6464-050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |