Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEANNE M LIDDICOAT, O.D.
ActiveLEANNE M LIDDICOAT, O.D. is a Vision Therapy Optometrist healthcare provider located in ROSEVILLE, California. NPI 1154413797 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · ROSEVILLE, CA
Registration Details
- NPI Number
- 1154413797
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2006 (19.896474800528 yrs)
- Last Updated
- Nov 8, 2010
- License
-
11076T (CA)
Practice Information
- Address
-
114 N SUNRISE AVESUITE C2ROSEVILLE, CA, 956612916Browse CA providers · Browse ZIP 95661
- Phone
- 9167862212
- Fax
- 9167862393
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.