Individual
NGAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
355 S WADSWORTH BLVD UNIT D, LAKEWOOD, CO 80226-3136
(720) 962-6906
Mailing address
355 S WADSWORTH BLVD UNIT D, LAKEWOOD, CO 80226-3136
(720) 335-9355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003747
CO
Other
Enumeration date
10/26/2021
Last updated
12/07/2021
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