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Individual

DR. SCOTT COLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
87 MAIN ST, WELLSBORO, PA 16901
(570) 724-4216
(570) 723-5092
Mailing address
PO BOX 753, WELLSBORO, PA 16901
(570) 724-4216
(570) 723-5092

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE5200P
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005542410002
PA
Enumeration date
07/24/2006
Last updated
07/09/2007
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