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Individual

DR. AMY MICHELLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3570 S VAL VISTA DR, SUITE R104, GILBERT, AZ 85297-7326
(480) 899-2381
(480) 899-1039
Mailing address
3570 S VAL VISTA DR, SUITE R104, GILBERT, AZ 85297-7326
(480) 899-2381
(480) 899-1039

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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