Individual
DR. ANNE CINDY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, FAAO
Contact information
Practice address
13427 INGLEWOOD AVE, HAWTHORNE, CA 90250-5608
(310) 676-2020
Mailing address
1828 WALNUT AVE, MANHATTAN BEACH, CA 90266-5019
(917) 554-5336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1324
AZ
152W00000X
Optometrist
13467
CA
152WP0200X
Pediatric Optometrist
Primary
13467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11423229
CAQH UNIVERSAL CREDENTIAL
—
Enumeration date
07/07/2005
Last updated
05/26/2022
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