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Individual

DR. DAN LEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
20542 N LAKE PLEASANT RD, SUITE 107, PEORIA, AZ 85382-9749
(632) 572-9090
(623) 572-9797
Mailing address
20542 N LAKE PLEASANT RD, SUITE 107, PEORIA, AZ 85382-9749
(632) 572-9090
(623) 572-9797

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
775
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173708
AZ
Enumeration date
01/23/2006
Last updated
12/07/2015
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