Individual
DR. GARY W LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
146 WALNUT STREET, LAWRENCEBURG, IN 47025
(812) 539-2273
Mailing address
100 INDUSTRIAL DRIVE, SUITE 220, LAWRENCEBURG, IN 47025
(812) 539-2273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000780A
IN
Other
Enumeration date
06/28/2006
Last updated
11/14/2007
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