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Leonard Lee Michael SR.
Optician in Beavercreek, Ohio
NPI 1659079747

Leonard Lee Michael SR. is a Optician based in Beavercreek, OH and is specialized in Optician. Leonard Lee Michael SR. practices in Beavercreek, OH. The NPI Number for Leonard Lee Michael SR. is 1659079747 and holds a License No. OP6863SC (Ohio).

The current practice location address for Leonard Lee Michael SR. is 3360 Pentagon Blvd, Beavercreek, OH and can be reached out via phone at 937-426-4638 and via fax at 937-426-3627.

Location: 3360 Pentagon Blvd, Beavercreek, OH, 45431-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659079747
Provider Name
Leonard Lee Michael SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3360 Pentagon Blvd, Beavercreek, OH, 45431-1702
Phone Number
937-426-4638
Fax Number
937-426-3627
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3360 Pentagon Blvd
City
Beavercreek
State
Ohio
Zip
45431-1702
Phone Number
937-426-4638
Fax Number
937-426-3627
person
Provider Business Mailing Address Details
Address
3360 Pentagon Blvd
City
Beavercreek
State
Ohio
Zip
45431-1702
Phone Number
937-426-4638
Fax Number
937-426-3627
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP6863SC (Ohio)
Definition
Definition to come...
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