Individual
LEE NGUYEN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9616 N LAMAR BLVD, STE. 159, AUSTIN, TX 78753-4150
(512) 835-9226
(512) 835-7413
Mailing address
9616 N LAMAR BLVD, STE. 159, AUSTIN, TX 78753-4250
(512) 835-9226
(512) 835-7423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05217T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418196-02
—
TX
Enumeration date
11/03/2006
Last updated
11/19/2011
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