Individual
TIFFANY LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
3515 VICTORY DR, COLUMBUS, GA 31903-2733
(706) 225-1025
Mailing address
5137 TRUSSELL AVE, COLUMBUS, GA 31904-5871
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO003092
GA
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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