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Individual

DR. ALLISON LEACH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
10504 S FEDERAL HWY, PORT ST LUCIE, FL 34952-5603
(772) 337-2748
(772) 337-1764
Mailing address
10504 S FEDERAL HWY, PORT ST LUCIE, FL 34952-5603
(772) 337-2748
(772) 337-1764

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0008231
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70263
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/05/2006
Last updated
07/08/2007
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