Individual
LEA SAWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1900 E. MAIN STREET, DANVILLE, IL 61832
(217) 554-3000
Mailing address
920 RICE RD, ELMA, NY 14059-9583
(716) 472-3607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010896
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
07/20/2015
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