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Individual

DR. LEELA S LAVASANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6376 PINE RIDGE RD UNIT 450, NAPLES, FL 34119-3928
(239) 514-2225
(239) 514-2280
Mailing address
6376 PINE RIDGE RD UNIT 450, NAPLES, FL 34119-3928
(239) 514-2225
(239) 514-2280

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME109866
FL
207Y00000X
Otolaryngology Physician
MT188403
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004121200
FL
Enumeration date
06/22/2007
Last updated
06/01/2022
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