Individual
STELLA LOU LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17 ELIZABETH ST, SUITE 401, NEW YORK, NY 10013-4803
(212) 226-3937
(212) 226-3372
Mailing address
17 ELIZABETH ST, SUITE 401, NEW YORK, NY 10013-4803
(212) 226-3937
(212) 226-3372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006242
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02239632
—
NY
01
—
6501889
GHI
NY
01
—
C389E1
BLUE CROSS BLUE SHIELD
NY
01
—
P2576713
OXFORD
NY
Enumeration date
02/27/2006
Last updated
07/09/2007
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