Individual
LEILANI LOPES-HASLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 EAST HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-5811
Mailing address
300 EAST HOSPITAL RD, FORT EISENHOWER, GA 30905-0714
(503) 828-2463
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
01/03/2023
Last updated
04/03/2026
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