Individual
DR. TYLER ALLEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2500 NORTHVIEW RD, LINCOLN, NE 68521-1383
(402) 420-2020
Mailing address
5255 NW 12TH ST APT 302, LINCOLN, NE 68521-4257
(308) 390-6099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1478
NE
152W00000X
Optometrist
3479
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2017
Last updated
03/11/2019
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