Individual
ELIZABETH JOSEPHINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1771 DUNLAWTON AVE, PORT ORANGE, FL 32127-4757
(386) 304-3328
Mailing address
1417 ROYAL GROVE LN, PORT ORANGE, FL 32129-8620
(954) 665-7358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4924
FL
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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