Individual
DR. GARY ALLEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11930 GARVEY AVE, EL MONTE, CA 91732-3514
(626) 443-4055
Mailing address
11930 GARVEY AVE, EL MONTE, CA 91732-3514
(626) 443-4055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5893T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005671
—
CA
Enumeration date
07/27/2006
Last updated
07/11/2008
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