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CONNIE C. LEE, OD, PLLC

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Company Details

Legal Name: CONNIE C. LEE, OD, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 27th 2016
Expiration date: 31 Jul 2026
UBI Number: 604 019 043
ZIP code: 98371
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1100 N MERIDIAN, ATTN: VISTA OPTICAL, PUYALLUP, WA, 98371, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2514 N ADAMS ST, TACOMA, WA, 98406-5328, UNITED STATES

Contact Details

E-Mail: SSTARLIGHT@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CONNIE LEE Registered Agent 2514 N ADAMS ST, TACOMA, WA, 98406-5328, UNITED STATES

Key Officers & Management

Name Role Address
CONNIE LEE Governing Person 37825 31ST AVENUE SOUTH, FEDERAL WAY, WA, 98003, UNITED STATES

National Provider Identifier

NPI Number:
1235683582

Authorized Person:

Name:
CONNIE LEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2538482597
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