Individual
LEE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4337 S FLORIDA AVE, LAKELAND, FL 33813-1654
(863) 619-2700
Mailing address
6110 REESE RD APT 404, DAVIE, FL 33314-1250
(817) 991-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6094
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2022
Last updated
06/30/2022
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