Mr. Leeroy Dixon
Mr. Leeroy Dixon is a Case Manager/Care Coordinator in South Lake Tahoe, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
924 Emerald Bay Rd Ste A2South Lake Tahoe, CA 96150-6434
Phone: (530) 544-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1841031069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 3, 2024 |
| Last updated in NPPES | June 3, 2024 |
| Certification date | June 3, 2024 |
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