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Individual
EDWARD WOLFGANG LEE
Active
Individual
EDWARD WOLFGANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A97746
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A97746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A977460
—
CA
Enumeration date
10/17/2008
Last updated
12/16/2019
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