Individual
CAROL H LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1306 GLENDALE GALLERIA, TEAGLE OPTOMETRY, GLENDALE, CA 91210-1400
(818) 956-0873
Mailing address
1306 GLENDALE GALLERIA, TEAGLE OPTOMETRY, GLENDALE, CA 91210
(714) 261-1367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12603T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0126030
—
CA
Enumeration date
02/13/2007
Last updated
10/07/2019
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