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Individual

LANCE LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
14999 PRESTON RD, SUITE 220 D, DALLAS, TX 75254-9116
(972) 663-3937
(972) 663-3938
Mailing address
2232 LUCKENBACH LN, IRVING, TX 75063
(214) 228-4108
(972) 663-3938

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6124T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150611501
TX
Enumeration date
12/08/2005
Last updated
02/25/2013
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