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Individual

LAWRENCE D LEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME80021
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2381220
AETNA HMO
05
259309200
FL
01
35603
BCBS
01
7144158
AETNA PPO
01
ME80021
FLORIDA LICENSE
FL
Enumeration date
06/03/2006
Last updated
01/08/2024
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