Individual
IRENE TIMOTHY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 564-2020
Mailing address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 564-2020
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
ME171749
FL
Other
Enumeration date
05/23/2019
Last updated
11/04/2025
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