Dr.Juliane Lee,optometrist, A Professional Corporation
Optometrist in Victorville, CA. Organization (NPI-2).
NPI number1164036646
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1164036646
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr.Juliane Lee,optometrist, A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Sep 2, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Dr.Juliane Lee,optometrist, A Professional Corporation (Doing Business As)
Practice location
14309 Bear Valley Rd Ste BVictorville, CA 92392-7648
Phone 760-674-8806
Mailing address
14309 Bear Valley Rd Ste BVictorville, CA 92392-7648
Phone 760-674-8806
Authorized official
Karen Ozuna
Assistant Manager
7606748806
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