Individual
DR. JUSTIN WAYNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 269-3333
Mailing address
2720 S ARLINGTON MILL DR, 916, ARLINGTON, VA 22206
(571) 643-6254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001231
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9237640
—
VA
Enumeration date
06/22/2006
Last updated
07/22/2024
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