Individual provider · NPI-1

Leeronia Brown

Technician/Technologist, Optician · Tempe, AZ

NPI number1821883547
StatusActive
Last updated in NPPESApr 12, 2025

Details

NPI
1821883547
Entity type
Individual (NPI-1)
Name
Leeronia Brown
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2025
Certification date
Apr 12, 2025
Last updated
Apr 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianLDO-002313AZYes

Practice location

1380 W Elliot Rd
Tempe, AZ 85284-1102

Phone 480-345-9559

Mailing address

1380 W Elliot Rd
Tempe, AZ 85284-1102

Phone 480-345-9559 · Fax 480-730-3296

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