Individual
DR. RANDALL MARK LEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MICHIGAN ST NE # 13, GRAND RAPIDS, MI 49503-2560
(616) 267-0073
Mailing address
538 BOND AVE NW APT 402, GRAND RAPIDS, MI 49503-6705
(517) 740-7279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101019817
MI
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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