Individual
TINA TIANYU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5821 S SPRAGUE CT, TACOMA, WA 98409-6903
(253) 396-4200
Mailing address
5821 S SPRAGUE CT, TACOMA, WA 98409-6903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61546580
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
06/07/2026
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