Individual
JOHN LERAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8617 MARTIN WAY E, SUITE 101, LACEY, WA 98516-5805
(360) 456-4959
(360) 456-2171
Mailing address
8617 MARTIN WAY E, SUITE 101, LACEY, WA 98516-5805
(360) 456-4959
(360) 456-2171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00013748
WA
Other
Enumeration date
09/26/2006
Last updated
07/28/2007
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