Individual
MR. ALEX MICHAEL LEURCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2D RECONNAISSANCE BATTALION, CAMP LEJEUNE, NC 28547-0138
(910) 440-7703
Mailing address
205 CHESWICK DR, HOLLY RIDGE, NC 28445-9411
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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