Individual
MR. JEFFERY LEE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
2733 KEITH ST., CLEVELAND, TN 37311
(423) 472-0426
(423) 559-0129
Mailing address
2127 BUCKS POCKET RD., OLDFORT, TN 37362
(423) 479-3195
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
958
TN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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