Individual
ANISSA KIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7601 STONERIDGE DR, PLEASANTON, CA 94588-4501
(925) 847-5734
Mailing address
9643 CAMASSIA WAY, SAN RAMON, CA 94582-5263
(925) 648-7988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11672T
CA
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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