Individual
DR. LEIGH ANNE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1215 LAKE AIR DR, WACO, TX 76710-4419
(254) 752-0471
Mailing address
1215 LAKE AIR DR, WACO, TX 76710-4419
(254) 752-0471
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5972
TX
Other
Enumeration date
10/04/2012
Last updated
12/06/2013
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