Individual
DR. LEE SHUWARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2568 TAYLOR LN, PUEBLO, CO 81005-2743
(719) 733-3060
Mailing address
2568 TAYLOR LN, PUEBLO, CO 81005-2743
(719) 733-3060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2072
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112449703
—
TX
Enumeration date
08/08/2006
Last updated
03/18/2025
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