| NPI | 1003965633 |
|---|---|
| Doing Business As | DONNA L. LEE OD ,TALLADEGA FAMILY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DEBORAH DENSON EDWARDS Administrator 256-878-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL st410ta319) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-06-24 |