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Individual

DR. GEORGE W. LEE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2004 W 15TH ST, SUITE 2, LOVELAND, CO 80538-3596
(970) 669-2040
(970) 669-2041
Mailing address
2004 W 15TH ST, SUITE 2, LOVELAND, CO 80538-3596
(970) 669-2040
(970) 669-2041

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO855
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04016119
CO
Enumeration date
12/13/2006
Last updated
01/12/2011
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