Individual
DR. LOREN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
619 S. FIRST AVENUE, ARCADIA, CA 91006-6691
(626) 447-8116
Mailing address
619 S 1ST AVE, ARCADIA, CA 91006-3834
(626) 447-8116
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
7713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0077130
—
CA
01
—
SD07713T0
BLUE SHIELD
CA
Enumeration date
11/23/2005
Last updated
12/17/2010
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