Individual
DR. RANDOLPH D LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 N RAYMOND ST, BOISE, ID 83704-9261
(208) 375-3871
(208) 321-1765
Mailing address
700 N RAYMOND ST, BOISE, ID 83704-9261
(208) 375-3871
(208) 321-1765
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 591
ID
Other
Enumeration date
06/14/2006
Last updated
01/08/2008
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