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Individual

MIRANDA G LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2401 US HIGHWAY 22 W, STE P, UNION, NJ 07083-8519
(908) 378-1821
Mailing address
2401 US HIGHWAY 22 W, STE P, UNION, NJ 07083-8519
(908) 378-1821

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
007474
NY
152W00000X
Optometrist
1742
AZ
152W00000X
Optometrist
Primary
27OA00645000
NJ

Other

Enumeration date
07/27/2009
Last updated
01/14/2014
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