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David James Leavengood, DO
Optician in Lady Lake, Florida
NPI 1801588793

David James Leavengood is a Optician based in Lady Lake, FL and is specialized in Optician. David James Leavengood practices in Lady Lake, FL and has the professional credentials of DO. The NPI Number for David James Leavengood is 1801588793 and holds a License No. DO7274 (Florida).

The current practice location address for David James Leavengood is 1716 Palm Aire Dr, Lady Lake, FL and can be reached out via phone at 353-292-2262.

Location: 1716 Palm Aire Dr, Lady Lake, FL, 32159-2235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801588793
Provider Name
David James Leavengood
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1716 Palm Aire Dr, Lady Lake, FL, 32159-2235
Phone Number
353-292-2262
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1716 Palm Aire Dr
City
Lady Lake
State
Florida
Zip
32159-2235
Phone Number
353-292-2262
Fax Number
person
Provider Business Mailing Address Details
Address
1716 Palm Aire Dr
City
Lady Lake
State
Florida
Zip
32159-2235
Phone Number
353-292-2262
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO7274 (Florida)
Definition
Definition to come...
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