Individual
LIONEL LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.A.C.
Contact information
Practice address
10111 W FOREST HILL BLVD RM 231, WELLINGTON, FL 33414-6157
(561) 784-7014
(561) 784-7922
Mailing address
10111 W FOREST HILL BLVD RM 231, WELLINGTON, FL 33414-6157
(561) 784-7014
(561) 784-7922
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
06-260
FL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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