Provider Demographics
NPI:1285777276
Name:LEE, LESFEENA HSUEH (OD)
Entity type:Individual
Prefix:
First Name:LESFEENA
Middle Name:HSUEH
Last Name:LEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 W BENCAMP ST
Mailing Address - Street 2:STE A
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3798
Mailing Address - Country:US
Mailing Address - Phone:714-891-8915
Mailing Address - Fax:714-897-4955
Practice Address - Street 1:251 W BENCAMP ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3798
Practice Address - Country:US
Practice Address - Phone:626-282-2567
Practice Address - Fax:626-282-3163
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11171T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist