Individual
DR. ADRIENNE DAWN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
231 HAMILTON AVE, PALO ALTO, CA 94301-2530
(650) 326-1649
Mailing address
231 HAMILTON AVE, PALO ALTO, CA 94301-2530
(650) 326-1649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9575T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-5623184
FED TAX OD
CA
01
—
9575T
OPTOMETRIC LICENSE
CA
Enumeration date
10/16/2006
Last updated
03/07/2023
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