Individual
DR. CHARISSA KEI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3971 IRVINE BLVD STE 110, IRVINE, CA 92602-2483
(714) 505-0555
Mailing address
3971 IRVINE BLVD STE 110, IRVINE, CA 92602-2483
(714) 505-0555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12261T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3741536
—
CA
Enumeration date
07/13/2006
Last updated
04/07/2008
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