Younsaup Grace Lee, OD Valid NPI

Individual provider · Optometrist · Rockford, IL

NPI

1235878851

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

046.011678 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-06-01

Last updated

2022-08-16