National Provider Identifier
Wayne Allen Leblanc, PA-C
Wayne Allen Leblanc, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 622-9568.
Profile Overview
- NPI
- 1023585254
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 25, 2018
- Last Updated
- October 01, 2020
Practice Location
- 6334 Robinson RD
- Lockport, NY 14094-7977
Phone: (716) 622-9568
Mailing Address
- 4716 Beach Ridge Road
- Lockport, NY 14094
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1023585254
- Entity Type
- Individual
- Last Name
- Leblanc
- First Name
- Wayne
- Middle Name
- Allen
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 4716 Beach Ridge Road
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094
- Mailing Country
- US
- Mailing Phone
- (716) 622-9568
- Practice Street Address
- 6334 Robinson RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-7977
- Practice Country
- US
- Practice Phone
- (716) 622-9568
- Enumeration Date
- October 25, 2018
- Last Updated
- October 01, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)