Individual
LAURA H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00002095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217194
LABOR AND INDUSTRIES
WA
05
—
2015147
—
WA
Enumeration date
04/24/2007
Last updated
01/14/2011
Update your record
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