Individual
MELANIE RAE LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4200 N FREEWAY RD # 120, PUEBLO, CO 81008-2153
(719) 207-8628
Mailing address
115 RED CANYON RD, LANDER, WY 82520-9418
(719) 641-5432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003492
CO
Other
Enumeration date
06/19/2019
Last updated
07/08/2024
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