Robert Fredrick Lee III O.D.

NPI 1013909555 - Optometrist - 152W00000X

NPI Details
NPI 1013909555
Gender Male
Enumeration Date 08/19/2005
Last Updated 11/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
15157 GRATIOT AVE
DETROIT MI, 48205-1324, US
Phone (313) 526-7664
Fax (313) 526-2055
Business Location
15157 GRATIOT AVE
DETROIT MI, 48205-1324, US
Phone (313) 526-7664
Fax (313) 526-2055
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003122
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According to our database, Dr. Robert Fredrick Lee III O.D. NPI is 1013909555, taxonomy code is 152W00000X and license number is 4901003122, license state is located at Michigan. Robert Fredrick Lee III O.D. physically located at 15157 Gratiot Ave, Detroit MI, 48205-1324. NPI Number Robert Fredrick Lee III O.D. has the Individual type.

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1013909555 NPI number is provided on an as is basis without warranty of any kind. 1013909555 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Fredrick Lee III O.D. are for informational purposes only.