Individual
DR. ROBERT G. LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5995 S POINTE BLVD, STE 111, FORT MYERS, FL 33919-3273
(239) 482-0355
(239) 482-8930
Mailing address
5995 S POINTE BLVD, STE 111, FORT MYERS, FL 33919-3273
(239) 482-0355
(239) 482-8930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078450800
—
FL
Enumeration date
06/23/2005
Last updated
03/16/2015
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