Individual
ALICE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
417 S SAN GABRIEL BLVD STE B, SAN GABRIEL, CA 91776-1968
(626) 291-2020
Mailing address
417 S SAN GABRIEL BLVD STE B, SAN GABRIEL, CA 91776-1968
(626) 291-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15064
CA
Other
Enumeration date
09/25/2014
Last updated
07/06/2020
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