Individual
FLORENCE JACKIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
495 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-4018
(617) 354-3600
Mailing address
19 DUNSTER ST, CAMBRIDGE, MA 02138-5002
(617) 354-5590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5203
MA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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