Individual
DR. ROBERT E LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2381 PASS RD, BILOXI, MS 39531-2237
(228) 385-2631
Mailing address
6000 HOLLIS ST, MOSS POINT, MS 39563-6049
(228) 235-7690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
479
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8-7884
—
MS
Enumeration date
05/17/2007
Last updated
07/08/2007
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