Organization
ELIZABETH LEE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LEE O.D. (PRESIDENT)
(954) 665-7358
Entity
Organization
Contact information
Practice address
1771 DUNLAWTON AVE, PORT ORANGE, FL 32127-4757
(954) 665-7358
Mailing address
1417 ROYAL GROVE LN, PORT ORANGE, FL 32129-8620
(954) 665-7358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4924
FL
Other
Enumeration date
06/27/2014
Last updated
02/25/2015
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