Individual
ERISALDI LEKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31020 JOHN R RD, MADISON HEIGHTS, MI 48071-1908
(248) 589-1349
Mailing address
31020 JOHN R RD, MADISON HEIGHTS, MI 48071-1908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005182
MI
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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