Individual
DR. DONNA L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8425 US HIGHWAY 431, ALBERTVILLE, AL 35950-0167
(256) 878-9027
(256) 891-7855
Mailing address
8425 US HWY 431, ALBERTVILLE, AL 35950-0007
(256) 878-9027
(256) 891-7855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ST-410TA319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059564
—
AL
01
—
102380001
PALMETTO
AL
01
—
102G413759
MEDICARE GROUP PTAN
AL
01
—
510-59564
BLUE CROSS
AL
Enumeration date
07/26/2006
Last updated
10/04/2012
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