Individual
GRANT ALLAN LEPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-7121
Mailing address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-7121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3307-035
WI
152W00000X
Optometrist
Primary
6216
OH
Other
Enumeration date
06/24/2013
Last updated
03/12/2019
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