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Individual

DR. LESLIE A DRAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2583 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-3203
(954) 563-8288
Mailing address
511 SE 5TH AVE APT 819, FORT LAUDERDALE, FL 33301-2969
(423) 883-2535

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD2640
TN
152W00000X
Optometrist
Primary
OPC4017
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3590042
TN
Enumeration date
09/21/2006
Last updated
04/01/2020
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