Individual
DR. JANE H LEE-KOIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5342
(707) 566-5220
Mailing address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5342
(707) 566-5220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11311T
CA
Other
Enumeration date
01/30/2007
Last updated
12/30/2021
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