Provider Demographics
NPI:1538566518
Name:LEBOEUF, HERVE III (LIFE COACH)
Entity type:Individual
Prefix:DR
First Name:HERVE
Middle Name:
Last Name:LEBOEUF
Suffix:III
Gender:M
Credentials:LIFE COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 DAUM CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2453
Mailing Address - Country:US
Mailing Address - Phone:703-455-4144
Mailing Address - Fax:
Practice Address - Street 1:9015 DAUM CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-2453
Practice Address - Country:US
Practice Address - Phone:703-455-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator