Individual
MICHELLE CHRISTINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(510) 432-4695
Mailing address
1618 S HALSTED ST, #5A, CHICAGO, IL 60608-2988
(510) 432-4695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15304
CA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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