Individual
DR. TROY JONATHAN LEBARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6750 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7897
(616) 656-0505
(616) 656-2750
Mailing address
6075 ADA DR SE, ADA, MI 49301-7547
(616) 469-0056
(616) 656-2750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004426
MI
Other
Enumeration date
08/15/2007
Last updated
04/07/2024
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