Individual
DR. BENJAMIN MICHAEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3739
LICENSE
TN
Enumeration date
06/03/2022
Last updated
06/20/2022
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