Michaelmichael C Lee O.D.

NPI 1497892574 - Optometrist - 152W00000X

NPI Details
NPI 1497892574
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3925 OLD REDWOOD HWY
SANTA ROSA CA, 95403-1719, US
Phone (707) 566-5222
Fax (707) 566-5220
Business Location
3925 OLD REDWOOD HWY
SANTA ROSA CA, 95403-1719, US
Phone (707) 566-5222
Fax (707) 566-5220
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 4948T
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According to our database, Dr. Michaelmichael C Lee O.D. NPI is 1497892574, taxonomy code is 152W00000X and license number is 4948T, license state is located at California. Michaelmichael C Lee O.D. physically located at 3925 Old Redwood Hwy, Santa Rosa CA, 95403-1719. NPI Number Michaelmichael C Lee O.D. has the Individual type.

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1497892574 NPI number is provided on an as is basis without warranty of any kind. 1497892574 is maintained by the National Plan & Provider Enumeration System. The contents of Michaelmichael C Lee O.D. are for informational purposes only.