Provider Demographics
NPI:1730582115
Name:LEROUX, GERMAINE (C H L S)
Entity type:Individual
Prefix:MRS
First Name:GERMAINE
Middle Name:
Last Name:LEROUX
Suffix:
Gender:F
Credentials:C H L S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 N BROWN RD
Mailing Address - Street 2:STE 200
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-1245
Mailing Address - Country:US
Mailing Address - Phone:678-787-6848
Mailing Address - Fax:678-820-7965
Practice Address - Street 1:1755 N BROWN RD
Practice Address - Street 2:STE 200
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-1245
Practice Address - Country:US
Practice Address - Phone:678-787-6848
Practice Address - Fax:678-820-7965
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment