Individual
KATHERINE P. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3148 KINGS ARMS CT NE, ATLANTA, GA 30345-2153
(770) 908-8491
(770) 237-0944
Mailing address
3148 KINGS ARMS CT NE, ATLANTA, GA 30345-2153
(770) 908-8491
(770) 237-0944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000957613A
—
GA
01
—
GRP936
MEDICARE GROUP ID NUMBER
—
Enumeration date
09/13/2005
Last updated
09/11/2008
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