Individual
DR. LEE H HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3405 S LINDEN RD, FLINT, MI 48507-3009
(810) 732-4110
Mailing address
4136 MERRIMAN LOOP, HOWELL, MI 48843-5210
(517) 552-1195
(517) 552-1195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944481850
—
MI
01
—
LH002594
BCBS IDENTIFICATION
MI
01
—
MI2594
EYEMED IDENTIFICATION
MI
Enumeration date
08/09/2006
Last updated
12/20/2010
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