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NPI Code Detail

MEDICARE: LEANNE FITZPATRICK

MEDICARE:   LEANNE  FITZPATRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1100XOphthalmic Technician/Technologist

General Provider Information

NPI Number : 1558206789
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE FITZPATRICK
Provider Business Mailing Address
First Line : 607 NW 28TH ST APT C
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-1071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 607 NW 28TH ST APT C
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-1071
Country : US
Telephone Number : 405-738-6926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ LEANNE FITZPATRICK ” Practice Location

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