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DR. LEAH MARIE COLBY O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1942292727

Individual Registrant:
DR. LEAH MARIE COLBY O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13900 NORTHDALE BOULEVARD  ROGERS, MN 55374-9317 US
Tel: 763-428-3757  Fax: 763-428-9820

Contact information for business:
26040 SYLVAN LAKE PKWY  ROGERS, MN 55374-8113 US
Tel: 763-420-5614  Fax: 763-428-9820

Registration Information:
NPI: 1942292727
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
MN2611

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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