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Individual
TOMMY LEE
Active
Individual
TOMMY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A102899
CA
Other
Enumeration date
12/28/2007
Last updated
10/04/2013
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