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Individual

OLIVIA AO-LI LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
603 MALLARD LANE, TAYLOR, TX 76574-1214
(512) 352-7664
(512) 365-5237
Mailing address
603 MALLARD LANE, TAYLOR, TX 76574-1214
(512) 352-7664
(512) 365-5237

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
060658
GA
207W00000X
Ophthalmology Physician
60658
GA
207W00000X
Ophthalmology Physician
Primary
N2168
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP2-0022424
INSTITUTIONAL PERMIT
Enumeration date
06/07/2007
Last updated
06/03/2009
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