Matthew Brian Lee O.D

NPI 1194706952 - Optometrist - 152W00000X

NPI Details
NPI 1194706952
Gender Male
Enumeration Date 11/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
708 W 20TH ST
SUITE 8
MERCED CA, 95340-3639, US
Phone (209) 384-2335
Fax
Business Location
2869 SAINT THOMAS CT
MERCED CA, 95348-3370, US
Phone (209) 388-1837
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 12952
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According to our database, Dr. Matthew Brian Lee O.D NPI is 1194706952, taxonomy code is 152W00000X and license number is 12952, license state is located at California. Matthew Brian Lee O.D physically located at 708 W 20th St, Merced CA, 95340-3639. NPI Number Matthew Brian Lee O.D has the Individual type.

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1194706952 NPI number is provided on an as is basis without warranty of any kind. 1194706952 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Brian Lee O.D are for informational purposes only.