Individual
DAVID LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8351 ELK GROVE BLVD., SUITE 200, ELK GROVE, CA 95758-5515
(916) 683-1222
Mailing address
8351 ELK GROVE BLVD., SUITE 200, ELK GROVE, CA 95758-5515
(916) 683-1222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9648T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0096480
—
CA
Enumeration date
12/19/2006
Last updated
07/08/2007
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