John Leraas, MD

NPI #1295836815 in Lacey, Washington

Provider Information

NPI Number: 1295836815
Entity Type: Individual
Name: John Leraas, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 26, 2006
Last Updated: Jul 28, 2007

Practice Location

Address: 8617 MARTIN WAY E
Address 2: SUITE 101
City: Lacey
State: Washington
ZIP Code: 98516-5805
Phone: (360) 456-4959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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