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Organization
LEE J PIATEK, MD INC
Active
Organization
LEE J PIATEK, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE JOSEPH PIATEK MD (PRESIDENT)
(805) 542-9678
Entity
Organization
Contact information
Practice address
1500 PALM ST STE A, SAN LUIS OBISPO, CA 93401-2998
(805) 542-9678
(805) 542-9685
Mailing address
1500 PALM ST STE A, SAN LUIS OBISPO, CA 93401-2998
(805) 542-9678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G28265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G282650
—
CA
01
—
CH658Z
PTAN
CA
Enumeration date
05/05/2011
Last updated
05/05/2011
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