Individual
MR. LEON BORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4135 FRANKLIN RD, ROANOKE, VA 24018-5703
(540) 362-0300
(540) 362-5574
Mailing address
4135 FRANKLIN RD, ROANOKE, VA 24018-5703
(540) 362-0300
(540) 362-5574
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001311
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079880
ANTHEM
VA
Enumeration date
07/23/2007
Last updated
07/23/2007
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