Individual
DR. RANDALL KEITH LERAAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13733 N PRASADA PKWY STE 100, SURPRISE, AZ 85388-8014
(623) 444-7100
Mailing address
754 S VAL VISTA DR STE 105, GILBERT, AZ 85296-3139
(623) 444-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5735
AZ
Other
Enumeration date
08/03/2006
Last updated
10/23/2023
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