Individual
MOLLY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25 MIDDLE SCHOOL ROAD, MEDINA, TN 38355
(731) 664-1604
Mailing address
25 MIDDLE SCHOOL ROAD, MEDINA, TN 38355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2579
TN
Other
Enumeration date
02/11/2007
Last updated
07/10/2009
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