Individual
DR. AMY MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1371
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177937
MEDICARE
AZ
Enumeration date
12/06/2005
Last updated
04/18/2016
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