Individual
KEUM B LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2835 W PICO BLVD, LOS ANGELES, CA 90006-3910
(323) 766-1909
(323) 766-1909
Mailing address
2835 W PICO BLVD, LOS ANGELES, CA 90006-3910
(323) 766-1909
(323) 766-1909
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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