Individual
DR. TERRI SUSANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
546 STEVE DR, RUSSELL SPRINGS, KY 42642-4601
(270) 866-3177
(270) 866-3155
Mailing address
PO BOX 296, FERGUSON, KY 42533-0296
(606) 492-2211
(606) 676-0873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1235DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012359
—
KY
Enumeration date
01/10/2007
Last updated
02/07/2023
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