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Individual

DR. NANNA KA-MAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
400 COMMONS WAY STE 327, BRIDGEWATER, NJ 08807-2822
(908) 704-8855
Mailing address
400 COMMONS WAY, BOX 327 #3310, BRIDGEWATER, NJ 08807

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00670000
NJ
152W00000X
Optometrist
TUV007441
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3811803
UNITED HEALTHCARE
NY
Enumeration date
07/19/2009
Last updated
08/02/2018
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