Individual
DEBORA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
UC BERKELEY SCHOOL OF OPTOMETRY, MINOR HALL, BERKELEY, CA 94720-0001
(510) 388-1941
Mailing address
UC BERKELEY SCHOOL OF OPTOMETRY, 200 MINOR HALL, BERKELEY, CA 94720-0001
(510) 388-1941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007350
NY
152W00000X
Optometrist
13483
CA
152WP0200X
Pediatric Optometrist
Primary
13483
CA
Other
Enumeration date
06/30/2008
Last updated
06/15/2009
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