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Individual

STEPHANIE H. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
12211T
CA
152W00000X
Optometrist
Primary
1612
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3747037
CA
Enumeration date
04/24/2007
Last updated
08/25/2008
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