Individual
DR. ROBERT FREDRICK LEE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15157 GRATIOT AVE, DETROIT, MI 48205-1324
(313) 526-7664
(313) 526-2055
Mailing address
15157 GRATIOT AVE, DETROIT, MI 48205-1324
(313) 526-7664
(313) 526-2055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3289816
—
MI
Enumeration date
08/19/2005
Last updated
11/04/2008
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