Individual
MARK ROBERT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8937 W SAHARA AVE, SUITE A, LAS VEGAS, NV 89117-5883
(702) 254-3558
(702) 876-8160
Mailing address
8937 W SAHARA AVE, SUITE A, LAS VEGAS, NV 89117-5883
(702) 254-3558
(702) 876-8160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0390
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503029
—
NV
Enumeration date
06/30/2006
Last updated
01/24/2018
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