Leeroy Dixon
Case Manager/Care Coordinator in South Lake Tahoe, CA. Individual provider (NPI-1).
NPI number1841031069
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1841031069
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leeroy Dixon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2024
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
924 Emerald Bay Rd Ste A2South Lake Tahoe, CA 96150-6434
Phone 530-544-2111
Mailing address
924 Emerald Bay Rd Ste A2South Lake Tahoe, CA 96150-6434
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All 34 Case Manager/Care Coordinator providers in South Lake Tahoe · All 712 providers in South Lake Tahoe
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