Organization
LESLIE J. LUNG, O.D.
Active
Other names
Queen Anne Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE JAMES LUNG O.D. (OWNER)
(206) 281-9100
Entity
Organization
Contact information
Practice address
535 4TH AVE W, SEATTLE, WA 98119-3906
(206) 281-9100
(206) 281-9100
Mailing address
535 4TH AVE W, SEATTLE, WA 98119-3906
(206) 281-9100
(206) 281-9100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003598
—
WA
Enumeration date
02/14/2007
Last updated
03/18/2008
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