Individual
DR. JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 INDEPENDENCE MALL WAY, C 104, KINGSTON, MA 02364-3048
(781) 585-1668
(781) 582-3872
Mailing address
101 INDEPENDENCE MALL WAY, C 104, KINGSTON, MA 02364-3048
(781) 585-1668
(781) 582-3872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4502
MA
Other
Enumeration date
09/23/2005
Last updated
02/10/2010
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