Provider Demographics
NPI:1235934761
Name:LEBOEUF, CHRISTINA K
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:K
Last Name:LEBOEUF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 HARDING DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-2517
Mailing Address - Country:US
Mailing Address - Phone:985-266-9027
Mailing Address - Fax:
Practice Address - Street 1:419 HARDING DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-2517
Practice Address - Country:US
Practice Address - Phone:985-266-9027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist