Individual
DR. IVAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1777 KUSER RD, HAMILTON SQUARE, NJ 08690-3703
(609) 581-5755
(609) 581-7055
Mailing address
25 AGATHA DR, EDISON, NJ 08817-2224
(908) 507-1368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00556300
NJ
Other
Enumeration date
06/18/2007
Last updated
09/19/2007
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