Individual
THUY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
29 LANCELOT DR, PAXTON, MA 01612-1261
(508) 363-3937
(508) 363-3938
Mailing address
29 LANCELOT DR, PAXTON, MA 01612-1261
(508) 363-3937
(508) 363-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336301
—
MA
Enumeration date
07/21/2006
Last updated
09/30/2013
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