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Individual

KELLY C LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
15711 AURORA AVE N, SHORELINE, WA 98133-5921
(206) 440-1227
(206) 363-2296
Mailing address
15422 NE 54TH PL, REDMOND, WA 98052-5168
(425) 882-4731
(425) 882-4731

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD3674
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121112
EYEMED DOC NUMBER
WA
Enumeration date
02/14/2007
Last updated
07/08/2007
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