# KELLEE LEANGSOK TEA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386807964
- **Gender:** F
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OEG002088 | PA | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 13559TLG | CA | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 02/04/2022