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Individual
THOMAS YOUNG LEE
Active
Individual
THOMAS YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2008T
OR
152W00000X
Optometrist
Primary
6874T
TX
152W00000X
Optometrist
9164T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41920
SPECTERA VISION
TX
Enumeration date
01/26/2007
Last updated
07/08/2007
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