Leah Wiedemamn, O.D.

NPI #1073910386 in Daytona Beach, Florida

Provider Information

NPI Number: 1073910386
Entity Type: Individual
Name: Leah Wiedemamn, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 2, 2014
Last Updated: Jun 8, 2015

Practice Location

Address: 716 N HALIFAX AVE APT 9
City: Daytona Beach
State: Florida
ZIP Code: 32118-3852
Phone: (314) 583-0324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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