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Organization
THOMAS W LEE MD INC
Active
Organization
THOMAS W LEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W LEE MD (PRESIDENT & OWNER)
(909) 946-2277
Entity
Organization
Contact information
Practice address
930 E FOOTHILL BLVD, SUITE 2, UPLAND, CA 91786
(909) 946-2277
(909) 920-0765
Mailing address
930 E FOOTHILL BLVD, SUITE 2, UPLAND, CA 91786
(909) 946-2277
(909) 920-0765
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1817836
PIN
CA
05
—
GR 0101740
—
CA
Enumeration date
11/22/2006
Last updated
08/22/2020
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