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Organization

LESLIE M ANDERSON OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE M. ANDERSON OD (PRESIDENT/OPTOMETRIST)
(704) 545-8831
Entity
Organization

Contact information

Practice address
11235 LAWYERS RD, CHARLOTTE, NC 28227-9355
(704) 545-8831
(704) 545-2354
Mailing address
PO BOX 23176, CHARLOTTE, NC 28227-0274
(704) 545-8831
(704) 545-2354

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1078
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8909027
NC
Enumeration date
08/18/2006
Last updated
02/08/2008
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