Individual
JUNA ABAZI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5802 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-4050
(414) 955-2020
(414) 955-6300
Mailing address
5802 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-4050
(414) 955-2020
(414) 955-6300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2017020392
MO
152W00000X
Optometrist
Primary
3584
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922529304
—
WI
Enumeration date
07/06/2017
Last updated
02/07/2020
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