Organization
SUSAN LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LEE O.D. (OWNER)
(580) 623-2300
Entity
Organization
Contact information
Practice address
215 N CLARENCE NASH BLVD, WATONGA, OK 73772-3645
(580) 623-2300
(580) 623-7533
Mailing address
215 N CLARENCE NASH BLVD, WATONGA, OK 73772-3645
(580) 623-2300
(580) 623-7533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1010
OK
Other
Enumeration date
02/12/2008
Last updated
10/28/2010
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