Lee, Juna Abazi

Lee, Juna Abazi is an individual health care provider with primary practice located at 5802 Washington Ave , Mount Pleasant WI 53406-4050. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee, Juna Abazi can be contacted via phone (414) 955-2020.

Contact Information

Primary practice address
5802 Washington Ave Mount Pleasant WI 53406-4050
Phone: (414) 955-2020
Fax: (414) 955-6300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2017020392 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 3584 Wisconsin

Profile Details

NPI number 1922529304
LBN Legal business name Lee, Juna Abazi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Feb 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922529304 NPPES
Wisconsin MEDICAID 1922529304

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