Liddicoat, Leanne M
Liddicoat, Leanne M is an individual health care provider with primary practice located at 114 N Sunrise Ave Suite C2, Roseville CA 95661-2916. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Liddicoat, Leanne M can be contacted via phone (916) 786-2212.Contact Information
Primary practice address
114 N Sunrise Ave Suite C2
Roseville CA 95661-2916
Phone: (916) 786-2212
Fax: (916) 786-2393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 11076T | California |
Profile Details
| NPI number | 1154413797 |
|---|---|
| LBN Legal business name | Liddicoat, Leanne M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Nov 8th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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