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DR. MICHAEL BRIAN LEE D.O.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1285845651

Individual Registrant:
DR. MICHAEL BRIAN LEE D.O.
Gender: M
Sole Proprietor

Location and contact information for practice:
3364 E SLAUSON AVE  VERNON, CA 90058-3915 US
Tel: 323-584-7242  Fax: 323-584-0059

Contact information for business:
228 ELLEN WAY  ARCADIA, CA 91006-4234 US
Tel: 310-890-4764  Fax: --

Registration Information:
NPI: 1285845651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
AZR1032
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A10591

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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