Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 6597TG | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 6597TG | TX |
NPI | 1255430070 |
---|---|
Provider Name | Dr. Diana S. Lee |
First Address | Frisco, TX 75034-9056 |
Second Address | Frisco, TX 75034-9056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 04/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2568416 | UNITED HEALTH CARE (01) | TX |