Individual
DR. LEE LARAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2025 INDIAN ROCKS RD, LARGO, FL 33774
(727) 586-7103
(727) 585-7205
Mailing address
1410 ALEXANDER WAY, CLEARATER, FL 33756
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
UO2393
FL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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