Individual
SHANNON EUNHWA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003615
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103683890-0001
—
PA
05
—
103683890-0002
—
PA
Enumeration date
09/03/2019
Last updated
11/07/2023
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