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Lee A Fernholz
Optician in Colorado Springs, Colorado
NPI 1346327533

Lee A Fernholz is a Optician based in Colorado Springs, CO and is specialized in Optician. Lee A Fernholz practices in Colorado Springs, CO. The NPI Number for Lee A Fernholz is 1346327533 and holds a License No. 008896500000 (Colorado).

The current practice location address for Lee A Fernholz is 12 E Pikes Peak Ave, Colorado Springs, CO and can be reached out via phone at 719-577-4366.

Location: 12 E Pikes Peak Ave, Colorado Springs, CO, 80903-1504
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Provider Profile Details
NPI Number
1346327533
Provider Name
Lee A Fernholz
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 E Pikes Peak Ave, Colorado Springs, CO, 80903-1504
Phone Number
719-577-4366
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08100497 05 CO
institution
Provider Business Practice Location Address Details
Address
12 E Pikes Peak Ave
City
State
Zip
80903-1504
Phone Number
719-577-4366
Fax Number
person
Provider Business Mailing Address Details
Address
12 E Pikes Peak Ave
City
State
Zip
80903-1504
Phone Number
719-577-4366
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
008896500000 (Colorado)
Definition
Definition to come...
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