Individual
MR. MICHAEL ALLEN LEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
8530 HIXSON PIKE, HIXSON, TN 37343
(423) 843-1773
(423) 843-9407
Mailing address
8530 HIXSON PIKE, HIXSON, TN 37343
(423) 843-1773
(423) 843-9407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
TN22276
TN
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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