Joseph Leif Andersen OD

NPI 1093791386 - Optometrist - 152W00000X

NPI Details
NPI 1093791386
Gender Male
Enumeration Date 12/19/2005
Last Updated 10/26/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4319 LAWRENCEVILLE HWY NW
LILBURN GA, 30047-3416, US
Phone (770) 921-4707
Fax (770) 925-8973
Business Location
4319 LAWRENCEVILLE HWY NW
LILBURN GA, 30047-3416, US
Phone (770) 921-4707
Fax (770) 925-8973
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 1432
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According to our database, Dr. Joseph Leif Andersen OD NPI is 1093791386, taxonomy code is 152W00000X and license number is 1432, license state is located at Georgia. Joseph Leif Andersen OD physically located at 4319 Lawrenceville Hwy Nw, Lilburn GA, 30047-3416. NPI Number Joseph Leif Andersen OD has the Individual type.

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1093791386 NPI number is provided on an as is basis without warranty of any kind. 1093791386 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Leif Andersen OD are for informational purposes only.