Individual
JAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 BLUEGRASS LAKES PKWY STE A, ALPHARETTA, GA 30004-7713
(770) 847-8788
Mailing address
1525 BLUEGRASS LAKES PKWY STE A, ALPHARETTA, GA 30004-7713
(678) 907-1587
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002349
GA
Other
Enumeration date
02/23/2011
Last updated
02/10/2025
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