Individual
CONNIE CHIH CHUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Mailing address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60484667
WA
152WP0200X
Pediatric Optometrist
OD60484667
WA
152WV0400X
Vision Therapy Optometrist
OD60484667
WA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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