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Individual
MR. LELAND MARK LERA
Active
Individual
MR. LELAND MARK LERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09118665
ASHA CERTIFICATION
CA
01
—
AU1704
AUDIOLOGY LICENSE
CA
01
—
HA3587
HEARING AID LICENS
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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