Provider Demographics
NPI:1508829342
Name:ROSEMAN, LEE M (OD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:M
Last Name:ROSEMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:808 W STREET RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3125
Mailing Address - Country:US
Mailing Address - Phone:215-674-9666
Mailing Address - Fax:215-674-9930
Practice Address - Street 1:808 W STREET RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3125
Practice Address - Country:US
Practice Address - Phone:215-674-9666
Practice Address - Fax:215-674-9930
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET0008787152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist